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[皮沃瓦罗夫巩膜成形术——其形态学方面、个体化及有效性]

[Pivovarov's scleroplasty operation--its morphological aspects, individualization and effectiveness].

作者信息

Uzdin M I, Kukoleva L V

出版信息

Oftalmol Zh. 1990(2):94-6.

PMID:2280952
Abstract

To study regularities of donor flaps location in scleroplasty after Pivovarov, 13 operations were performed on cadavers with fixation of the flaps with glue "Moment", subsequent removal of the eye ball and sketching of the grafts position. Three main variants of flap location were distinguished, when the flaps overlapped either the posterior pole or each other in 2-3 layers. By means of the method of factor-geometric analysis using a computer DVK-3, mathematic calculations of the effectiveness of the operation were made. With the help of the computer, a table was created showing the dependence between the anteroposterior axis of the eye and the length of the transplanted grafts, thus allowing to individualize the operation. A positive effect of 260 operations using the sclera dehydrated in the absolute alcohol was achieved in 94.0% of cases.

摘要

为研究皮沃瓦罗夫术后巩膜成形术中供体皮瓣定位规律,对13具尸体进行了手术,用“瞬间”胶水固定皮瓣,随后摘除眼球并描绘移植物位置。区分了皮瓣定位的三种主要变体,即皮瓣在2 - 3层中覆盖后极或相互重叠。通过使用计算机DVK - 3的因子几何分析方法,对手术效果进行了数学计算。借助计算机创建了一个表格,显示眼的前后轴与移植移植物长度之间的关系,从而使手术个体化。在94.0%的病例中,使用在无水酒精中脱水的巩膜进行的260例手术取得了积极效果。

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