鼻内镜下眶减压术治疗甲状腺相关眼病

盛海斌; 蔡昌枰; 程瑜; 焦秦; 朱巍; 赵咏桔; 方文强; 谭令

doi:10.13201/j.issn.1001-1781.2012.01.013

鼻内镜下眶减压术治疗甲状腺相关眼病

- 1 上海交通大学医学院附属瑞金医院耳鼻咽喉科(上海, 200025);
- 2 上海交通大学医学院附属瑞金医院眼科;
- 3 上海交通大学医学院附属瑞金医院内分泌科;
- 4 上海交通大学医学院附属瑞金医院影像科
基金项目:
上海市卫生局资助(No:2010279)

详细信息

通讯作者: 蔡昌枰,E-mail:billycai56@hotmail.com

中图分类号: R765.9

收稿日期: 2011-07-13

Endoscopic orbital decompression for thyroid-associated ophthalmopathy

- 1. Department of Otolaryngology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China;
- 2. Department of Ophthalmology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine;
- 3. Department of Endocrinology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine;
- 4. Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

More Information

Corresponding author: CAI Changping, E-mail: billycai56@hotmail.com

Received Date: 13 July 2011

摘要

摘要: 目的:探讨鼻内镜下眶减压术在甲状腺相关眼病治疗中的价值。方法:回顾性分析9例(12眼)临床确诊为甲状腺相关眼病行鼻内镜下眶减压术患者的相关资料,观察手术前后患者视力、眼压、眼球突出度及运动度、角膜情况以及有无复视等。结果:12眼(100%)术后视力均提高,其中1眼从术前只有光感,术后可感眼前手动,其余11眼视力提高0.1~0.7;10眼(83.3%)眼压降低0.2~21.4 mm Hg(1 mm Hg=0.133 kPa),2眼无明显变化;8眼(66.7%)眼球突出后退1~5 mm,另外4眼无明显变化;术前1眼存在角膜溃疡,术后溃疡愈合;术前9眼存在眼球活动受限,其中8眼(88.9%)术后得到不同程度缓解,1眼无变化;术前4例存在复视,术后1例复视消失;除1眼术后出现中鼻道出血行止血处理外,其余11眼未发生其他并发症。结论:鼻内镜下眶减压术具有视野清晰、安全有效及微创的优点,是治疗甲状腺相关眼病较好的术式。
- Graves眼病 /
- 内镜术 /
- 减压术,外科
Abstract: Objective: To evaluate the therapeutic results of endoscopic orbital decompression for thyroid-associated ophthalmopathy.Method: The records of nine patients(twelve orbits) recieved endoscopic orbital decompression for thyroid-associated ophthalmopathy were analyzed for changes in visual acuity, intraocular pressure, proptosis,corneal ulceration and movement.The follow-ups ranged from two months to thirty-six months.Result: Twelve orbits(100%) had improvement in visual acuity (range 0.1-0.7). Ten orbits (83.3%) decreased in intraocular pressure (range 0.2-21.4 mm Hg). Eight orbits(66.7%) decreased in proptosis(one-five mm).The orbit with corneal ulcer was healed after decompression. Diplopia was cured in one of four patients.Conclusion: Endoscopic orbital decompression is a safe and effective procedure for the treatment of thyroid-associated ophthalmopathy.
- Graves ophthalmopathy /
- endoscope /
- decompression,surgery

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参考文献(10)

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