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[斜视手术中的血管保存]

[Blood vessel preservation in squint surgery].

作者信息

Roth A

机构信息

Clinique d'Ophtalmologie, Genéve, Hôpital cantonal universitaire.

出版信息

Klin Monbl Augenheilkd. 1989 Sep;195(3):161-5. doi: 10.1055/s-2008-1046429.

Abstract

The vascularization of the anterior section of the bulb depends partially on the anterior ciliary vessels. Circulatory disorders of the anterior uvea have been detected following conventional squint surgery in which several of these vessels were severed, even though there were no clinically detectable symptoms. It therefore makes good sense to spare the muscular and anterior ciliary vessels as far as possible, in order to preserve the muscles themselves and the anterior section of the bulb (a) by careful surgery and (b) by adopting surgical procedures in which the vessels are not sacrificed. In the final analysis, complete preservation of the vessels can only be achieved using the operating microscope.

摘要

眼球前段的血管形成部分依赖于睫状前血管。在传统斜视手术中,由于切断了数条此类血管,即便没有临床可检测到的症状,也已检测到前葡萄膜的循环障碍。因此,尽可能保留肌性和睫状前血管是很有意义的,以便通过(a)精细手术和(b)采用不牺牲血管的手术方法来保留肌肉本身和眼球前段。归根结底,只有使用手术显微镜才能实现血管的完全保留。

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