Harada-Ito术式治疗上斜肌麻痹

目的:探讨Harada-Ito术式的手术效果和优点。方法:11例单侧上斜肌麻痹患者术前原在位无明显垂直斜视,有明显的旋转斜视,对其行Harada-Ito术式。结果:所有患者做Harada-Ito术式后代偿头位均明显改善,歪头在10°之内。术后双眼向下注视位的内斜均明显好转。1例上斜肌止端异常的患儿术后出现下斜肌功能轻度减弱(-1),其余均未出现医源性Brown腱鞘综合征。结论:Harada-Ito术式手术效果显著,明显矫正旋转斜视和内斜视,不出现医源性Brown腱鞘综合征。

Modified Harada-Ito Procedure in Acquired Superior Oblique Palsy with Exotropia

Superior oblique palsy is the most common isolated cranial nerve palsy and is commonly associated with exotropia. Modified Harada-Ito procedure can be used to correct excyclotorsion in symptomatic patients. We report a case of acquired superior oblique palsy with exotropia undergoing modified Harada-Ito procedure. A 33 years old man presented with torsional diplopia. On examination there was 10 degrees of left excyclotorsion on double Maddox rod with 25-diopter of exotropia on primary gaze and 20-diopter on lateral gaze suggestive of lateral incomitancy. He underwent a Fells modification of Harada-Ito procedure with bilateral rectus recession. Three months postoperative, he was orthophoric. Modified Harada-Ito procedure is a successful procedure in overcoming torsional diplopia. It is important to identify lateral incomitancy to prevent overcorrection of the horizontal deviation.

改良Harada-lto术治疗外旋转性斜视的效果观察

目的探讨改良Harada-Ito术治疗外旋转性斜视的效果。方法上斜肌附着点前1/2向前移位到上直肌的颞侧,矫正外旋转性斜视。结果10例手术后旋转复视症状均基本消失,视自然物体清晰。结论改良Harada-Ito术治疗外旋转斜视效果满意。

Dis Colon Rectum 2024年8期摘要

经肛门全直肠系膜切除术手术区域的细胞学分析:一项前瞻性研究Yushi Suzuki,Hiro Hasegawa,Takashi Mori,Koichi Teramura,Yuichiro Tsukada,Takeshi Sasaki,Motohiro Kojima,Masaaki Ito翻译:张荣欣中山大学肿瘤防治中心审校:呙耀宇中山大学附属第六医院背景:在挪威接受经肛门全直肠系膜切除术的患者中,意外地发现有大量患者出现局部复发。这似乎与手术过程中癌细胞的扩散有关。目的:本研究调查经肛门全直肠系膜切除术手术区域的细胞学情况。设计:本研究为前瞻性队列研究。

垂直肌水平移位治疗外旋斜视体会

目的探讨垂直肌水平移位手术治疗外旋斜视的临床疗效。方法回顾经垂直肌水平移位手术治疗的7例外旋斜视患者，2例患者行上直肌向颞侧移位一个肌腹宽度，联合下直肌向鼻侧移位一个肌腹宽度手术；5例患者合并正前方垂直斜视，行下直肌后徙同时向鼻侧移位一个肌腹宽度。所有患者随访超过6个月。结果同时移位上下直肌平均矫正正前方外旋11°，下直肌后徙联合鼻侧移位一个肌腹宽度矫正正前方外旋7°，7例患者在各个注视位均获得双眼单视，复视和代偿头位消失，随访旋转斜度稳定。结论垂直肌水平移位手术治疗外旋斜视有确切的效果。