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[采用小仓氏手术治疗甲状腺毒性突眼症(作者译)]

[The surgical treatment of thyrotoxic exophthalmos using Ogura's operation (author's transl)].

作者信息

Piquet J J, François P, Martin A, Boschi-Laot M T, Deroubaix J P, Decroix G

出版信息

Ann Otolaryngol Chir Cervicofac. 1979 Mar;96(3):205-10.

PMID:582501
Abstract

Ogura's operation consists of resection via De Lima's approach of the bony floor of the orbit and the lateral wall of the ethmoid. The orbital periosteum is then incised in order to allow the orbital fat to enter the sinuses and thus decompress the orbit. In most cases the operation is performed on both sides at the same time. It is used in cases of malignant or severe thyrotoxic exophthalmos, or in the presence of optic neuritis. The results obtained were good in 9 cases with a marked reduction in exophthalmos and rapid cure of optic neuritis. An additional ophthalmological procedure is sometimes necessary in order to perfect the anesthetic result.

摘要

小仓手术包括通过德利马入路切除眶底骨质和筛窦外侧壁。然后切开眶骨膜,以使眶脂肪进入鼻窦,从而使眼眶减压。在大多数情况下,该手术同时在双侧进行。它用于恶性或严重甲状腺毒性突眼病例,或存在视神经炎的情况。9例患者取得了良好的效果,突眼明显减轻,视神经炎迅速治愈。有时需要额外的眼科手术来完善麻醉效果。

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