论文部分内容阅读
目的斜视手术进入显微微创手术领域有诸多的优越性,可替代以往常规肉眼下斜视手术。方法：1002例斜视患者系本院手术患者,男578例,女424例,患者年龄2～66岁,共同性斜视802例,麻痹性斜视106例,A-V征42例,分离性垂直偏斜26例,先天性眼球震颤22例,反向斜视4例,全部病例的手术均在显微镜下完成。10岁以下患者在全麻下手术,10岁以上患者在表麻下手术。结果：术中视野清晰,手术操作准确；对复杂性斜视手术行睫状前血管分离、保留后,单眼一次离断2条以上直肌,无一例眼前节缺血发生；所有手术后局部反应轻微,并发症极少。结论：斜视的显微手术与以往常规肉眼下斜视手术相比,无论从减轻手术创伤提高手术的准确性和降低手术并发症的发生几率上,都有诸多的优越性。
Objective Strabismus surgery into the field of minimally invasive surgery has many advantages, can replace conventional strabismus surgery under the naked eye. Methods: One hundred and two patients with strabismus underwent surgery in our hospital. There were 578 males and 424 females, aged from 2 to 66 years. There were 802 cases of common strabismus, 106 cases of paralytic strabismus, 42 cases of AV signs and 26 cases of vertical deviations For example, 22 cases of congenital nystagmus, reverse strabismus in 4 cases, all cases of surgery were completed under the microscope. Patients under the age of 10 under general anesthesia surgery, patients over the age of 10 in the table under anesthesia surgery. Results: The intraoperative visual field was clear and the operation was accurate. For the complicated strabismus surgery, the pre-ciliary vessels were isolated and preserved. There were more than two rectus muscles in one eye and no ischemia in the anterior segment. The local reactions were mild after all the operations Very few complications. CONCLUSIONS: Strabismus microsurgery has many advantages compared with conventional under-the-eyes strabismus surgery in terms of reducing the surgical trauma and improving the accuracy of the operation and reducing the incidence of surgical complications.