目的:探讨单侧内直肌后徙术与双侧内直肌后徙术对内斜视青少年视功能、斜视度及眼外肌、血清中胰岛素样生长因子-1(Insulin like growth factor 1,IGF-1)水平的影响。方法:选取笔者医院2020年1月-2022年1月收治的60例急性共同性内斜视(A...目的:探讨单侧内直肌后徙术与双侧内直肌后徙术对内斜视青少年视功能、斜视度及眼外肌、血清中胰岛素样生长因子-1(Insulin like growth factor 1,IGF-1)水平的影响。方法:选取笔者医院2020年1月-2022年1月收治的60例急性共同性内斜视(Adolescent patients with acute concomitant esotropia,AACE)青少年患者作为研究对象,按照随机数字表法分为观察组(30例,采用单侧内直肌后徙术治疗)和对照组(30例,采用双侧内直肌后徙术治疗),术后随访半年。观察两组患者治疗效果、Base-out恢复点参数、视功能、斜视度(N-D值),眼外肌、血清中IGF-1水平。结果:术后6个月,观察组患者正位率高于对照组患者,过矫率低于对照组患者(P<0.05)。术后6个月,观察组患者Base-out恢复点参数与Base-in(BI)恢复点与对照组比较差异无统计学意义(P>0.05)。术后6个月,观察组患者正常视近立体视比例高于对照组患者(P<0.05)。术后6个月,观察组患者斜视度与对照组比较差异无统计学意义(P>0.05)。术后6个月,观察组患者眼外肌、血清中IGF-1水平均高于对照组(P<0.05)。结论:单侧内直肌后徙术与双侧内直肌后徙术相比,其能提升内斜视青少年正位率,改善视功能情况,有利于临床推广。展开更多
The Trendelenburg position and reverse Trendelenburg position are frequently employed during lower abdominal surgery to achieve optimal surgical field visualization and complete exposure of the operative site, particu...The Trendelenburg position and reverse Trendelenburg position are frequently employed during lower abdominal surgery to achieve optimal surgical field visualization and complete exposure of the operative site, particularly under pneumoperitoneum conditions. However, these positions can have significant impacts on the patient’s physiological functions. This article overviews the historical background of Trendelenburg position and reverse Trendelenbury position, their effects on various physiological functions, recent advancements in their clinical applications, and strategies for preventing and managing associated complications.展开更多
文摘目的:探讨单侧内直肌后徙术与双侧内直肌后徙术对内斜视青少年视功能、斜视度及眼外肌、血清中胰岛素样生长因子-1(Insulin like growth factor 1,IGF-1)水平的影响。方法:选取笔者医院2020年1月-2022年1月收治的60例急性共同性内斜视(Adolescent patients with acute concomitant esotropia,AACE)青少年患者作为研究对象,按照随机数字表法分为观察组(30例,采用单侧内直肌后徙术治疗)和对照组(30例,采用双侧内直肌后徙术治疗),术后随访半年。观察两组患者治疗效果、Base-out恢复点参数、视功能、斜视度(N-D值),眼外肌、血清中IGF-1水平。结果:术后6个月,观察组患者正位率高于对照组患者,过矫率低于对照组患者(P<0.05)。术后6个月,观察组患者Base-out恢复点参数与Base-in(BI)恢复点与对照组比较差异无统计学意义(P>0.05)。术后6个月,观察组患者正常视近立体视比例高于对照组患者(P<0.05)。术后6个月,观察组患者斜视度与对照组比较差异无统计学意义(P>0.05)。术后6个月,观察组患者眼外肌、血清中IGF-1水平均高于对照组(P<0.05)。结论:单侧内直肌后徙术与双侧内直肌后徙术相比,其能提升内斜视青少年正位率,改善视功能情况,有利于临床推广。
基金This study was supported by 2021 Jiaxing Key Discipline of Medicine(2021-GFXK-01).
文摘The Trendelenburg position and reverse Trendelenburg position are frequently employed during lower abdominal surgery to achieve optimal surgical field visualization and complete exposure of the operative site, particularly under pneumoperitoneum conditions. However, these positions can have significant impacts on the patient’s physiological functions. This article overviews the historical background of Trendelenburg position and reverse Trendelenbury position, their effects on various physiological functions, recent advancements in their clinical applications, and strategies for preventing and managing associated complications.
