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頁籤選單縮合
題 名 | Effect of Lower Lid Traction Suture--Prevention of Lowerlid Retraction Associated with Inferior Rectus Muscle Recession Surgery=下眼瞼牽引縫合法之效果--預防下直肌退縮手術所引起的下眼瞼縮回 |
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作 者 | 沈秉衡; 吳敏慧; | 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343-349 |
分類號 | 416.752 |
關鍵詞 | 下眼瞼牽引縫合法; 下直肌退縮手術; 下眼瞼縮回; Lower lid retraction; Lower lid traction suture; Lower lid retractor; |
語 文 | 英文(English) |
中文摘要 | 根據統計,下直肌退縮手術引起很高比例下眼瞼縮回的後遺症。這不僅造成外觀 上的遺憾,也常因眼瞼閉合不全而需要進行第二次的整型手術。所以在斜視手術的同時,預 防下眼瞼縮回已成趨勢。 本篇是利用下眼瞼牽引器( lower lid retractors )做一個可調整性的牽引縫合,縫至下 直肌的肌止端,來避免術後之下眼瞼縮回。 在實驗組29個病人當中, 術後平均下眼瞼的縮回值為下眼瞼前進 0.13mm,其中只有 41% 的病人發生下眼瞼縮回的現象; 對照組10個病人中,平均下眼瞼縮回值為 01.0mm,而有 80% 的病人發生下眼瞼縮回的現象。 兩組平均下眼瞼的縮回值彼此有統計上的意義( p<0.05 T-test )。 所以本文的結果顯示,下眼瞼牽引縫合法確實能預防下直肌退縮手術所引起的下眼瞼縮合。 |
英文摘要 | Retraction of lower eyelid occurred frequently with previous inferior rectus muscle recession surgery. We performed an adjustable lower lid traction technique to prevent such retraction. The technique involves an adjustable suspension of the capsulopalpebral head of the inferior rectus muscle from the original IR insertion at the time of strabismus surgery. Besides, the normal lid function was preserved, and the lid position can be adjusted separately at the time of muscle adjustment. We reviewed 39 cases (1992-1996) whoreceived IR recession. 29 eyes in 29 patients received lower lid traction suture as well as IR recession. 10 eyes in 10 patients as control group. About 83% of the patients showed no lower lid retraction with the technique done; whereas only 50% in control group had no lid retraction. The mean lid retraction is -0.13 mm in study group and 0.30 mm in control group (P<0.05). In those who remained minor retraction, Graves' disease is the majority. Our study confirmed the effectiveness of this adjustable lid traction suturing to prevent lower lid retraction. |
本系統中英文摘要資訊取自各篇刊載內容。