目的:探讨慢性泪囊炎合并睑板腺功能障碍患者通过泪道激光成型并置管术及术后联合睑板腺治疗的疗效。方法:收集我院2021-03/2022-12慢性泪囊炎合并睑板腺功能障碍的患者128例,均行泪道激光成型联合置管术;术后随机分为2组,A组64例(无睑...目的:探讨慢性泪囊炎合并睑板腺功能障碍患者通过泪道激光成型并置管术及术后联合睑板腺治疗的疗效。方法:收集我院2021-03/2022-12慢性泪囊炎合并睑板腺功能障碍的患者128例,均行泪道激光成型联合置管术;术后随机分为2组,A组64例(无睑板腺治疗)、B组64例(睑板腺治疗),术后3 mo取出泪道置管后评价两组泪道冲洗通畅率;并对比两组眼表疾病指数(OSDI)评分、非侵袭性泪膜破裂时间、泪河高度、眼红分析、睑板腺分析、泪液脂质层厚度、泪液蕨类试验、结膜印记细胞检查的变化情况。结果:A组与B组泪道冲洗通畅率分别为78.1%、81.2%,两者比较无差异(P>0.05);与A组比较,术后3 mo B组患者非侵袭性泪膜破裂时间延长,OSDI评分、眼红分析、泪液蕨类试验及结膜印记细胞学分级降低(均P<0.05),而泪河高度、泪液脂质层厚度、睑板腺缺失评分两者无明显差异(均P>0.05)。结论:慢性泪囊炎合并睑板腺功能障碍患者综合治疗后其舒适度、泪膜稳定性、局部炎症反应有所好转,这类患者手术治疗的同时应同步重视眼表微环境异常的改善,以期达到满意的疗效。展开更多
BACKGROUND This study aimed to describe the findings of double superior mesenteric veins(SMVs),a rare anatomical variation,on multidetector computer tomography(MDCT)and magnetic resonance imaging(MRI)images.CASE SUMMA...BACKGROUND This study aimed to describe the findings of double superior mesenteric veins(SMVs),a rare anatomical variation,on multidetector computer tomography(MDCT)and magnetic resonance imaging(MRI)images.CASE SUMMARY We describe the case of a 34-year-old male,who underwent both MDC and MRI examinations of the upper abdomen because of liver cirrhosis.MDCT and MRI angiography images of the upper abdomen revealed an anatomic variation of the superior mesenteric vein(SMV),the double SMVs.CONCLUSION The double SMVs are a congenital abnormality without potential clinical manifestation.Physicians need to be aware of this anatomical variation during abdominal surgery to avoid iatrogenic injury.展开更多
文摘目的:探讨慢性泪囊炎合并睑板腺功能障碍患者通过泪道激光成型并置管术及术后联合睑板腺治疗的疗效。方法:收集我院2021-03/2022-12慢性泪囊炎合并睑板腺功能障碍的患者128例,均行泪道激光成型联合置管术;术后随机分为2组,A组64例(无睑板腺治疗)、B组64例(睑板腺治疗),术后3 mo取出泪道置管后评价两组泪道冲洗通畅率;并对比两组眼表疾病指数(OSDI)评分、非侵袭性泪膜破裂时间、泪河高度、眼红分析、睑板腺分析、泪液脂质层厚度、泪液蕨类试验、结膜印记细胞检查的变化情况。结果:A组与B组泪道冲洗通畅率分别为78.1%、81.2%,两者比较无差异(P>0.05);与A组比较,术后3 mo B组患者非侵袭性泪膜破裂时间延长,OSDI评分、眼红分析、泪液蕨类试验及结膜印记细胞学分级降低(均P<0.05),而泪河高度、泪液脂质层厚度、睑板腺缺失评分两者无明显差异(均P>0.05)。结论:慢性泪囊炎合并睑板腺功能障碍患者综合治疗后其舒适度、泪膜稳定性、局部炎症反应有所好转,这类患者手术治疗的同时应同步重视眼表微环境异常的改善,以期达到满意的疗效。
文摘BACKGROUND This study aimed to describe the findings of double superior mesenteric veins(SMVs),a rare anatomical variation,on multidetector computer tomography(MDCT)and magnetic resonance imaging(MRI)images.CASE SUMMARY We describe the case of a 34-year-old male,who underwent both MDC and MRI examinations of the upper abdomen because of liver cirrhosis.MDCT and MRI angiography images of the upper abdomen revealed an anatomic variation of the superior mesenteric vein(SMV),the double SMVs.CONCLUSION The double SMVs are a congenital abnormality without potential clinical manifestation.Physicians need to be aware of this anatomical variation during abdominal surgery to avoid iatrogenic injury.
