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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.

DOI:10.1055/s-2008-1046429
PMID:2811178
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。

相似文献

1
[Blood vessel preservation in squint surgery].[斜视手术中的血管保存]
Klin Monbl Augenheilkd. 1989 Sep;195(3):161-5. doi: 10.1055/s-2008-1046429.
2
[The effect of preventing anterior segment ischemia by preservation of anterior ciliary vessels in rabbit].[通过保留兔睫状前血管预防眼前段缺血的效果]
Zhonghua Yan Ke Za Zhi. 2004 Oct;40(10):663-9.
3
Anterior segment ischemia: etiology, assessment, and management.前段缺血:病因、评估和管理。
Eye (Lond). 2018 Feb;32(2):173-178. doi: 10.1038/eye.2017.248. Epub 2017 Nov 17.
4
Preservation and observation of anterior ciliary vessels in rectus muscles during strabismus surgery.斜视手术中直肌睫状前血管的保存与观察
Yan Ke Xue Bao. 1995 Mar;11(1):44-7.
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Anterior segment ischemia after strabismus surgery with microvascular dissection.斜视手术伴微血管解剖后眼前节缺血
J AAPOS. 2000 Feb;4(1):56-7. doi: 10.1016/s1091-8531(00)90013-2.
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Effect of a modified rectus tuck on anterior segment circulation in monkeys.改良直肌折叠术对猴眼前节循环的影响。
J Pediatr Ophthalmol Strabismus. 1991 Mar-Apr;28(2):77-81. doi: 10.3928/0191-3913-19910301-06.
7
Experimental study on the prevention of anterior segment ischemia by preservation of anterior ciliary vessels.通过保留睫状前血管预防眼前段缺血的实验研究
Yan Ke Xue Bao. 2003 Mar;19(1):25-32.
8
Preservation of the anterior ciliary vessels during extraocular muscle surgery.眼外肌手术中睫状前血管的保留
Ophthalmology. 1989 Apr;96(4):498-506. doi: 10.1016/s0161-6420(89)32867-3.
9
Anterior segment angiography in strabismus surgery.斜视手术中的眼前节血管造影术。
Klin Monbl Augenheilkd. 2012 Apr;229(4):362-4. doi: 10.1055/s-0031-1299283. Epub 2012 Apr 11.
10
Comparison of a new, minimally invasive strabismus surgery technique with the usual limbal approach for rectus muscle recession and plication.一种新型微创斜视手术技术与常规角膜缘入路进行直肌后徙和折叠术的比较。
Br J Ophthalmol. 2007 Jan;91(1):5. doi: 10.1136/bjo.2006.108381.

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