• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

一种新的用于评估改良经结膜眶隔脂肪减压手术的放射学测量方法。

A new radiological measurement method used to evaluate the modified transconjunctival orbital fat decompression surgery.

机构信息

Department of Ophthalmology, Chengdu First People's Hospital, No.18 Wanxiang North Road, Chengdu, 610041, Sichuan Province, China.

Department of Radiology, Chengdu First People's Hospital, Chengdu, Sichuan Province, China.

出版信息

BMC Ophthalmol. 2021 Apr 13;21(1):176. doi: 10.1186/s12886-021-01911-9.

DOI:10.1186/s12886-021-01911-9
PMID:33845801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8042705/
Abstract

PURPOSE

A new radiological method was used to evaluate the plastic effect of modified transconjunctival orbital fat decompression surgery in patients with inactive thyroid-associated ophthalmopathy.

METHODS

In this study, 10 inactive patients (14 eyes) with moderate to severe thyroid-associated ophthalmopathy were selected. The patients underwent modified transconjunctival orbital fat decompression surgery. According to the results of a spiral CT scan before and 6 months after the surgery, the INFINITT system workstation was used to measure the eyeball protrusion value. According to the results obtained by the PHLIPS IntelliSpace Portal elliptical area and line segment measurement tools, the standard elliptical vertebral volume formula was used to calculate the muscular cone inner volume. Changes in eyeball protrusion and the inner volume of the muscular cone before and after surgery were examined. Statistical analysis of the correlation between the two parameters was performed.

RESULTS

Radiological measurement results confirmed that removing the orbital fat in the muscle cone during surgery was effective for alleviating eyeball protrusion in patients with thyroid-associated ophthalmopathy (P < 0.05). This surgery caused an obvious change in the muscle cone inner volume (P < 0.05). And there was significant correlation between changes in eyeball protrusion and muscle cone inner volume (r = 0.797, P = 0.0006, P < 0.05).

CONCLUSION

The radiological assessment method used in this study is simple and easy to implement. For inactive patients with moderate to severe thyroid-associated ophthalmopathy who just want to improve their appearance, the modified orbital fat decompression surgery is worth considering.

摘要

目的

采用一种新的放射学方法评估改良经结膜眶隔脂肪减压术对甲状腺相关眼病的整形效果。

方法

本研究选取 10 例（14 只眼）中重度甲状腺相关眼病不活动患者，行改良经结膜眶隔脂肪减压术。根据术前和术后 6 个月螺旋 CT 扫描结果，利用 INFINITT 系统工作站测量眼球突出值，利用 PHILIPS IntelliSpace Portal 椭圆面积和线段测量工具测量，采用标准椭圆椎体容积公式计算肌锥内体积。观察手术前后眼球突出度和肌锥内体积的变化，对两者的相关性进行统计学分析。

结果

影像学测量结果证实，手术中去除肌锥内的眶隔脂肪可有效缓解甲状腺相关眼病患者的眼球突出（P<0.05）。该手术导致肌锥内体积明显变化（P<0.05）。眼球突出度变化与肌锥内体积变化之间存在显著相关性（r=0.797，P=0.0006，P<0.05）。

结论

本研究采用的影像学评估方法简单易行。对于只想改善外观的中重度甲状腺相关眼病不活动患者，改良眶隔脂肪减压术值得考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/6b386fccdb34/12886_2021_1911_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/4e02a5ee1ed4/12886_2021_1911_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/9a2acd142d51/12886_2021_1911_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/91890f401170/12886_2021_1911_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/7e85a42c13ea/12886_2021_1911_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/6f2fe16524b7/12886_2021_1911_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/9e88da235ece/12886_2021_1911_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/6b386fccdb34/12886_2021_1911_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/4e02a5ee1ed4/12886_2021_1911_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/9a2acd142d51/12886_2021_1911_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/91890f401170/12886_2021_1911_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/7e85a42c13ea/12886_2021_1911_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/6f2fe16524b7/12886_2021_1911_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/9e88da235ece/12886_2021_1911_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7136/8042705/6b386fccdb34/12886_2021_1911_Fig7_HTML.jpg

相似文献

1
A new radiological measurement method used to evaluate the modified transconjunctival orbital fat decompression surgery.一种新的用于评估改良经结膜眶隔脂肪减压手术的放射学测量方法。
BMC Ophthalmol. 2021 Apr 13;21(1):176. doi: 10.1186/s12886-021-01911-9.
2
Outcomes of orbital decompression using surgical navigation in thyroid-associated ophthalmopathy.手术导航下眶减压术治疗甲状腺相关眼病的疗效。
Int J Oral Maxillofac Surg. 2020 Oct;49(10):1279-1285. doi: 10.1016/j.ijom.2020.02.008. Epub 2020 Feb 29.
3
Use of computed tomography to assess volume change after endoscopic orbital decompression for Graves' ophthalmopathy.使用计算机断层扫描评估格雷夫斯眼病内镜下眼眶减压术后的体积变化。
Am J Otolaryngol. 2015 Nov-Dec;36(6):729-35. doi: 10.1016/j.amjoto.2015.06.005. Epub 2015 Jun 23.
4
[Reappraise the value of orbital decompression for thyroid associated ophthalmopathy].[重新评估眼眶减压术治疗甲状腺相关性眼病的价值]
Zhonghua Yan Ke Za Zhi. 2012 Aug;48(8):673-5.
5
[Three-dimensional vector analysis after decompression surgery in thyroid-associated ophthalmopathy].[甲状腺相关性眼病减压手术后的三维矢量分析]
Zhonghua Yan Ke Za Zhi. 2017 Jun 11;53(6):424-429. doi: 10.3760/cma.j.issn.0412-4081.2017.06.006.
6
[Re-evaluate the value of orbital decompression for thyroid associated ophthalmopathy].[重新评估眼眶减压术治疗甲状腺相关性眼病的价值]
Zhonghua Yan Ke Za Zhi. 2017 Jun 11;53(6):401-403. doi: 10.3760/cma.j.issn.0412-4081.2017.06.001.
7
Customized Orbital Decompression Surgery Combined with Eyelid Surgery or Strabismus Surgery in Mild to Moderate Thyroid-associated Ophthalmopathy.定制眼眶减压手术联合眼睑手术或斜视手术治疗轻至中度甲状腺相关性眼病
Korean J Ophthalmol. 2016 Feb;30(1):1-9. doi: 10.3341/kjo.2016.30.1.1. Epub 2016 Jan 21.
8
Minimally invasive orbital decompression: local anesthesia and hand-carved bone.微创眼眶减压术：局部麻醉与手工雕刻骨片
Arch Ophthalmol. 2005 Dec;123(12):1671-5. doi: 10.1001/archopht.123.12.1671.
9
Transconjunctival fat removal combined with conservative medial wall/floor orbital decompression for Graves orbitopathy.经结膜脂肪切除术联合保守性眶内壁/眶底减压术治疗Graves眼病
Ophthalmic Plast Reconstr Surg. 2009 May-Jun;25(3):206-10. doi: 10.1097/IOP.0b013e3181a424cc.
10
Surgical effects of various orbital decompression methods in thyroid-associated orbitopathy: computed tomography-based comparative analysis.甲状腺相关性眼病中各种眼眶减压方法的手术效果：基于计算机断层扫描的对比分析
J Craniomaxillofac Surg. 2014 Oct;42(7):1286-91. doi: 10.1016/j.jcms.2014.03.011. Epub 2014 Mar 31.

引用本文的文献

1
A novel indicator in evaluating endoscopic orbital decompression for thyroid-associated orbitopathy.一种评估甲状腺相关性眼病内镜下眼眶减压术的新型指标。
Front Endocrinol (Lausanne). 2025 Apr 8;16:1527376. doi: 10.3389/fendo.2025.1527376. eCollection 2025.
2
Predictive modeling of graves' orbitopathy activity based on meibomian glands analysis using in vivo confocal microscopy.基于体内共聚焦显微镜下睑板腺分析的格雷夫斯眼眶病活动预测模型
BMC Endocr Disord. 2025 Mar 26;25(1):83. doi: 10.1186/s12902-025-01895-3.
3
Classification and correlation analysis of orbital medial wall fractures based on computed tomography data for prediction of surgical planning.

本文引用的文献

1
Measurement of proptosis using computed tomography based three-dimensional reconstruction software in patients with Graves' orbitopathy.使用基于计算机断层扫描的三维重建软件测量格雷夫斯眼病患者的眼球突出度。
Sci Rep. 2020 Sep 3;10(1):14554. doi: 10.1038/s41598-020-71098-4.
2
A Comparative Study of Clinical vs. Digital Exophthalmometry Measurement Methods.临床与数字式眼球突出度测量方法的比较研究
J Ophthalmol. 2020 Mar 23;2020:1397410. doi: 10.1155/2020/1397410. eCollection 2020.
3
Fat-removal orbital decompression for thyroid associated orbitopathy: The right procedure for the right patient.
基于计算机断层扫描数据的眼眶内侧壁骨折分类及相关性分析以预测手术方案
BMC Ophthalmol. 2025 Feb 10;25(1):66. doi: 10.1186/s12886-025-03900-8.
4
Investigation of Conjunctival Goblet Cell and Tear MUC5AC Protein in Patients With Graves' Ophthalmopathy.Graves 眼病患者结膜杯状细胞和泪液 MUC5AC 蛋白的研究。
Transl Vis Sci Technol. 2023 Oct 3;12(10):19. doi: 10.1167/tvst.12.10.19.
脂肪去除性眼眶减压术治疗甲状腺相关眼病：为合适的患者选择合适的手术。
Saudi J Ophthalmol. 2017 Jul-Sep;31(3):156-161. doi: 10.1016/j.sjopt.2017.05.017. Epub 2017 Jun 14.
4
Long-term outcomes of orbital fat decompression in Graves' orbitopathy.格雷夫斯眼眶病眼眶脂肪减压的长期疗效
Br J Ophthalmol. 2018 Jan;102(1):69-73. doi: 10.1136/bjophthalmol-2016-309888. Epub 2017 Apr 27.
5
The 2016 European Thyroid Association/European Group on Graves' Orbitopathy Guidelines for the Management of Graves' Orbitopathy.2016年欧洲甲状腺协会/欧洲Graves眼病研究组Graves眼病管理指南
Eur Thyroid J. 2016 Mar;5(1):9-26. doi: 10.1159/000443828. Epub 2016 Mar 2.
6
Axial Globe Position Measurement: A Prospective Multicenter Study by the International Thyroid Eye Disease Society.轴位眼球位置测量：国际甲状腺眼病学会的一项前瞻性多中心研究。
Ophthalmic Plast Reconstr Surg. 2016 Mar-Apr;32(2):106-12. doi: 10.1097/IOP.0000000000000437.
7
Orbital fat decompression for thyroid eye disease: retrospective case review and criteria for optimal case selection.甲状腺眼病的眼眶脂肪减压术：回顾性病例分析及最佳病例选择标准
Ophthalmic Plast Reconstr Surg. 2015 May-Jun;31(3):215-8. doi: 10.1097/IOP.0000000000000260.
8
Fat-removal orbital decompression for disfiguring proptosis associated with Graves' ophthalmopathy: safety, efficacy and predictability of outcomes.脂肪去除性眼眶减压术治疗Graves眼病相关的毁容性眼球突出：安全性、有效性及预后可预测性
Int Ophthalmol. 2015 Jun;35(3):325-9. doi: 10.1007/s10792-014-9948-2. Epub 2014 Apr 29.
9
Graded decompression of orbital fat and wall in patients with Graves' orbitopathy.格雷夫斯眼眶病患者眼眶脂肪和眶壁的分级减压术
Korean J Ophthalmol. 2014 Feb;28(1):1-11. doi: 10.3341/kjo.2014.28.1.1. Epub 2014 Jan 21.
10
Correlation of retrobulbar volume change with resected orbital fat volume and proptosis reduction after fatty decompression for Graves ophthalmopathy.Graves 眼病行脂肪减压术后眼窝容积变化与切除眶内脂肪量和眼球突出度改善的相关性研究。
Am J Ophthalmol. 2011 Mar;151(3):465-9.e1. doi: 10.1016/j.ajo.2010.08.042. Epub 2011 Jan 12.