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題 名 | 鼻腔內視鏡之減壓手術治療甲狀腺相關之眼窩病變=Orbital Decompression in Thyroid-associated Orbitopathy--A Transnasal Endoscopic Approach |
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作 者 | 林睦秋; 林耀溢; 周俐禎; 楊宜璋; 洪熒燦; 朱繡棟; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 38:3 1999.09[民88.09] |
頁 次 | 頁391-397 |
分類號 | 416.75 |
關鍵詞 | 鼻腔內視鏡; 減壓手術; 眼窩病變; Orbital decompression; Optic neuropathy; Thyroid associated orbitopathy; TAO; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:探討以鼻腔內視鏡做眼窩減壓手術來治療甲狀腺相關之眼窩病變(Thyroid -associated orbitopathy, TAO )之效果。 方法:對四名與甲狀腺相關之眼窩病變之病人(一名合併暴露性角膜病變,兩名合併壓迫性 視神經病變,一名合併續發性青光眼)以鼻腔內視鏡施行眼窩減壓手術,我們提出術前術後 之比較及長期追蹤結果之報告。 結果:術後突眼平均減少 3mm,視力方面除了一名角膜病變之病人外,都有改善,併發症方 面,除了一名患者術後發生內斜視外,術中及術後都未發生重大併發症。 結論:以鼻腔內視鏡施行眼窩減壓手術,來治療與甲狀腺相關之眼窩病變,與過去之眼窩減 壓手術相比,是一相當安全且有效之方法,尤其對合併壓迫性視神經病變之病人,更是值得 推薦。 |
英文摘要 | Thyroid-related-orbitopathy usually cause lids and extraocular muscles problem as well as proptosis. Sometimes, compressive optic neuropathy and exposure keratopathy are noted, and cannot be released unless orbital decompression is done. Through a transnasal transethmoidal endoscopic approach, we removed the medial as well as part of the inferior walls of the orbit, and so decompresssed the orbit. The results were good as shown in this article. The average reduction of proptosis was 3mm, and all patients got improvement of visual acuity except the one with keratopathy. There were no major complications intra-and post-operatively. Transnasal transethmoidal endocsopic orbital decompression surgery is safe and very effective. Compared with traditional approaches, this surgery causes less bleeding, less scarring, and provides an easy path to orbital apex, where is most severely involved in Grave's disease. So, we suggest this surgery be done for patients with thyroid-associated orbitopathy (TAO), especially for the ones complicated with optic neuropathy. |
本系統中英文摘要資訊取自各篇刊載內容。