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纤维蛋白胶作为辅助悬带手术的效果。

Effect of fibrin glue as an adjuvant to hang-back surgery.

机构信息

Department of Ophthalmology, Kim’s Eye Hospital, Konyang University College of Medicine, Seoul, South Korea.

出版信息

BMC Ophthalmol. 2012 Jun 7;12:14. doi: 10.1186/1471-2415-12-14.


DOI:10.1186/1471-2415-12-14
PMID:22677044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3473302/
Abstract

BACKGROUND: The hang-back surgery is a useful technique in the field of strabismus surgery. The aim of this study is to determine the stabilizing effects of fibrin glue as an adjuvant to hang-back surgery. MATERIALS AND METHODS: Four (4)-mm hang-back recessions of the superior rectus muscle was performed in 32 eyes of 16 rabbits. Only in the left eye of the 16 rabbits, fibrin glue was applied between the recessed muscle bed and the sclera at the end of hang-back surgery (fibrin glue group). After 6 weeks, we compared the stability of the recessed rectus muscle between the fibrin glue group and the control group by evaluating the displacement of the muscle. RESULTS: The frequency of stable insertion of the recessed muscle at the intended site was greater in the fibrin glue group (9 eyes) compared to the control group (3 eyes) (p=0.028). In the control group, 5 eyes showed anterior displacement and 8 eyes showed posterior displacement and in the fibrin glue group, 1 eye showed anterior displacement, and 6 eyes showed posterior displacement. Anterior displacement was more common in the control group (6.3% Vs 31.3%). The control group and the fibrin glue group showed similar histological findings on microscopic examination. CONCLUSIONS: Fibrin glue is effective in stabilizing the new rectus muscle insertion and decreasing the displacement in the hang-back surgery.

摘要

背景:后退手术是斜视手术领域的一种有用技术。本研究旨在确定纤维蛋白胶作为后退手术辅助手段的稳定效果。

材料和方法:在 16 只兔子的 32 只眼睛中进行了 4 毫米的上直肌后退。在这 16 只兔子中,只有左眼在后退手术结束时在后退肌肉床和巩膜之间应用纤维蛋白胶(纤维蛋白胶组)。6 周后,通过评估肌肉移位,比较纤维蛋白胶组和对照组后退直肌的稳定性。

结果:纤维蛋白胶组(9 只眼)稳定插入预期部位的频率高于对照组(3 只眼)(p=0.028)。在对照组中,5 只眼出现前移位,8 只眼出现后移位,而在纤维蛋白胶组中,1 只眼出现前移位,6 只眼出现后移位。对照组(6.3%比 31.3%)更常见前移位。对照组和纤维蛋白胶组在显微镜检查下的组织学发现相似。

结论:纤维蛋白胶在稳定新直肌插入和减少后退手术中的移位方面是有效的。

相似文献

[1]
Effect of fibrin glue as an adjuvant to hang-back surgery.

BMC Ophthalmol. 2012-6-7

[2]
Evaluation of superior rectus muscle attachment following hang-back recession in rabbit eyes.

Eur J Ophthalmol. 2004

[3]
Reattachment of extraocular muscles using fibrin glue in a rabbit model.

Invest Ophthalmol Vis Sci. 1997-2

[4]
Foreign body extrusion associated with N-butyl-2-cyanoacrylate glue used with rectus muscle hang-back recession.

Can J Ophthalmol. 2020-2

[5]
Stability of Y-splitting procedure combined with hang-back recession of the rectus muscle in rabbit eyes.

Graefes Arch Clin Exp Ophthalmol. 2014-1

[6]
Wright hang-back recession with fibrin glue compared with standard fixed suture recession for the treatment of horizontal strabismus.

Can J Ophthalmol. 2021-8

[7]
Comparative evaluation of cyanoacrylate and fibrin glue for muscle recession in strabismus surgery.

J Pediatr Ophthalmol Strabismus. 2014

[8]
An experimental study on the use of fibrin sealants in strabismus surgery.

Turk J Pediatr. 1991

[9]
Cut and paste: sutureless conjunctival closure in strabismus surgery.

J Pediatr Ophthalmol Strabismus. 2010

[10]
Strabismus surgery: fibrin glue versus vicryl for conjunctival closure.

Acta Ophthalmol Scand. 2001-10

引用本文的文献

[1]
One Year of Pediatric Ophthalmology and Strabismus Research in Review.

Asia Pac J Ophthalmol (Phila). 2013

[2]
Comparison of surgically induced astigmatism in patients with horizontal rectus muscle recession.

Int J Ophthalmol. 2014-8-18

本文引用的文献

[1]
A new modfied anchored suspension-recession (so-called "hang-back" technique for high risk strabismus surgery.

Binocul Vis Strabismus Q. 2010

[2]
A comparison of hang-back with conventional recession surgery for exotropia.

J AAPOS. 2007-12

[3]
Long-term results of hang-back lateral rectus recession.

J Pediatr Ophthalmol Strabismus. 2006

[4]
Adal-1 bioadhesive for sutureless recession muscle surgery: a clinical trial.

Br J Ophthalmol. 2006-2

[5]
Comparison of modified anchored "hang-back technique (HBT)" with conventional HBT in bimedial rectus recession.

J AAPOS. 2005-6

[6]
Bimedial hang-back recession -- outcomes and surgical response.

Eye (Lond). 2005-11

[7]
Tissue adhesives for a sutureless fadenoperation: an experimental study in a rabbit model.

Invest Ophthalmol Vis Sci. 2004-12

[8]
Comparison of hang-back and conventional recession surgery for horizontal strabismus.

J Pediatr Ophthalmol Strabismus. 2001

[9]
Evaluation of application techniques of fibrin sealant to prevent cerebrospinal fluid leakage: a new device for the application of aerosolized fibrin glue.

Neurosurgery. 1999-2

[10]
Effect of fibrin glue in the reduction of postthoracotomy alveolar air leak.

Ann Thorac Surg. 1997-10

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