A 66-year-old female presented with exotropia and hypertropia of her left eye. She had a previous history of lateral rectus recession and medial rectus resection of her left eye 20 years prior to old oculomotor and tr...A 66-year-old female presented with exotropia and hypertropia of her left eye. She had a previous history of lateral rectus recession and medial rectus resection of her left eye 20 years prior to old oculomotor and trochlear nerve pareses. She was treated with a botulinum toxin injection in the inferior oblique and lateral rectus muscles of her affected eye. In this case, the patient’s exotropia and hypertropia of her affected eye were greatly reduced after injections. Botulinum toxin chemodenervation can be considered as a subsidiary treatment option to the ultimate surgery not only for acute paralytic strabismus but also for chronic paralytic strabismus and further study may be necessary.展开更多
Objective To investigate the clinical effect of botulinum toxin type A injection combined with low-energy CO2 fractional laser periocular rejuvenation treatment.Methods The clinical effect of botulinum type A injectio...Objective To investigate the clinical effect of botulinum toxin type A injection combined with low-energy CO2 fractional laser periocular rejuvenation treatment.Methods The clinical effect of botulinum type A injection alone and botulinum type A injection combined with low-energy CO2 fractional laser was compared in 96 patients who needed to receive periocular rejuvenation treatment from April 2018 to April 2019.Results After the combined low-energy CO2 fractional laser treatment was given on the basis of botulinum toxin type A injection,the follow-up global aesthetic improvement scale(GAIS)scores of the observation group were 86.78±4.67,80.31±3.66,76.94±4.03 and 40.59±4.78.The global aesthetic improvement of the dynamic and static wrinkles was obvious.The total effective rate was 93.7%.The total satisfaction rate of the patients was 95.8%,which was higher than that of the control group(P<0.05).The clinical efficacy was significant.Conclusion The application of the combined periocular rejuvenation treatment can improve the dynamic and static wrinkles simultaneously with remarkable rejuvenation effect,increase the effective rate of treatment and enhance the patients'satisfaction.展开更多
目的:探讨A型肉毒毒素(BTA)注射和眼外肌手术治疗大角度(≥+60 PD)急性共同性内斜视(AACE)的疗效差异性。方法:回顾性分析2020-06/2022-12于我院治疗的AACE患者60例的临床资料,根据治疗方式分为2.5 IU BTA注射组(14例)、5.0 IU BTA注射...目的:探讨A型肉毒毒素(BTA)注射和眼外肌手术治疗大角度(≥+60 PD)急性共同性内斜视(AACE)的疗效差异性。方法:回顾性分析2020-06/2022-12于我院治疗的AACE患者60例的临床资料,根据治疗方式分为2.5 IU BTA注射组(14例)、5.0 IU BTA注射组(29例)、手术组(17例)。治疗后随访6 mo,观察纳入患者屈光矫正后的斜视度、视功能、治疗有效率及BTA注射后并发症发生情况。结果:治疗后6 mo,手术组和5.0 IU BTA注射组患者的斜视度均小于2.5 IU BTA注射组(P<0.017),但手术组与5.0 IU BTA注射组患者的斜视度无显著差异(P>0.017);5.0 IU BTA注射组有效率高于2.5 IU BTA注射组(86%vs 43%,P<0.017);三组患者各级视功能均无差异(P>0.05);2.5 IU BTA注射组和5.0 IU BTA注射组治疗后并发症总发生率无显著差异(43%vs 52%,P>0.05)。结论:对于斜视度≥+60 PD的AACE患者,双眼内直肌注射5.0 IU BTA可以取得与传统眼外肌手术相当的效果,且其具有创伤小,操作简单方便的优势。展开更多
目的:探究A型肉毒素(Botulinum toxin A for therapeutic use,BTXA)不同分区多点注射对下睑纹改善中的美学效果及安全性。方法:选取2021年6月至2022年7月期间本院门诊收治的存在下睑纹的患者180例作为研究对象,随机分成对照组和观察组,...目的:探究A型肉毒素(Botulinum toxin A for therapeutic use,BTXA)不同分区多点注射对下睑纹改善中的美学效果及安全性。方法:选取2021年6月至2022年7月期间本院门诊收治的存在下睑纹的患者180例作为研究对象,随机分成对照组和观察组,每组90例。对照组采用BTXA三点注射法,观察组采用BTXA不同分区多点注射法,治疗时长m。比较两组的瘙痒程度、下睑纹改善情况、美学效果(Global aesthetic improvement scale,GAIS)、不良反应和满意度。结果:观察组瘙痒评分高于对照组(P<0.05);与治疗前相比,两组的皱纹分级评分降低,GAIS评分增加(P<0.05),其中观察组更为显著(P<0.05);观察组不良反应发生率低于对照组(P<0.05);观察组的满意率高于对照组(P<0.05)。结论:采用BTXA不同分区多点注射相比于三点注射具有更高的疗效、美学效果和安全性,提高患者满意度。展开更多
To the Editor:The patient was a 16-year-old adolescent boy who was diagnosed with congenital megacolon.He had difficulty with defecating for more than 10 years.His bowel movements stopped more than 1 week ago.He was a...To the Editor:The patient was a 16-year-old adolescent boy who was diagnosed with congenital megacolon.He had difficulty with defecating for more than 10 years.His bowel movements stopped more than 1 week ago.He was admitted to the hospital with incomplete intestinal obstruction.The patient showed signs of moderate nutrition,poor mental health,and full abdominal bulging and had an abdominal circumference of 104 cm. Rectal examination showed blasting exhaust and defecation, and the anal pressure measurement value was 89 mmHg.The total abdominal augmentation computed tomography and total colorectal sputum angiography showed that the upper and middle rectum,descending colon,transverse colon,and ascending colon were dilated,the maximum diameter of the intestine was 23 cm,and the intestine was filled with feces, suggesting that the lower rectum and sigmoid colon were narrow [Figure 1a and 1b].展开更多
文摘A 66-year-old female presented with exotropia and hypertropia of her left eye. She had a previous history of lateral rectus recession and medial rectus resection of her left eye 20 years prior to old oculomotor and trochlear nerve pareses. She was treated with a botulinum toxin injection in the inferior oblique and lateral rectus muscles of her affected eye. In this case, the patient’s exotropia and hypertropia of her affected eye were greatly reduced after injections. Botulinum toxin chemodenervation can be considered as a subsidiary treatment option to the ultimate surgery not only for acute paralytic strabismus but also for chronic paralytic strabismus and further study may be necessary.
文摘Objective To investigate the clinical effect of botulinum toxin type A injection combined with low-energy CO2 fractional laser periocular rejuvenation treatment.Methods The clinical effect of botulinum type A injection alone and botulinum type A injection combined with low-energy CO2 fractional laser was compared in 96 patients who needed to receive periocular rejuvenation treatment from April 2018 to April 2019.Results After the combined low-energy CO2 fractional laser treatment was given on the basis of botulinum toxin type A injection,the follow-up global aesthetic improvement scale(GAIS)scores of the observation group were 86.78±4.67,80.31±3.66,76.94±4.03 and 40.59±4.78.The global aesthetic improvement of the dynamic and static wrinkles was obvious.The total effective rate was 93.7%.The total satisfaction rate of the patients was 95.8%,which was higher than that of the control group(P<0.05).The clinical efficacy was significant.Conclusion The application of the combined periocular rejuvenation treatment can improve the dynamic and static wrinkles simultaneously with remarkable rejuvenation effect,increase the effective rate of treatment and enhance the patients'satisfaction.
文摘目的:探讨A型肉毒毒素(BTA)注射和眼外肌手术治疗大角度(≥+60 PD)急性共同性内斜视(AACE)的疗效差异性。方法:回顾性分析2020-06/2022-12于我院治疗的AACE患者60例的临床资料,根据治疗方式分为2.5 IU BTA注射组(14例)、5.0 IU BTA注射组(29例)、手术组(17例)。治疗后随访6 mo,观察纳入患者屈光矫正后的斜视度、视功能、治疗有效率及BTA注射后并发症发生情况。结果:治疗后6 mo,手术组和5.0 IU BTA注射组患者的斜视度均小于2.5 IU BTA注射组(P<0.017),但手术组与5.0 IU BTA注射组患者的斜视度无显著差异(P>0.017);5.0 IU BTA注射组有效率高于2.5 IU BTA注射组(86%vs 43%,P<0.017);三组患者各级视功能均无差异(P>0.05);2.5 IU BTA注射组和5.0 IU BTA注射组治疗后并发症总发生率无显著差异(43%vs 52%,P>0.05)。结论:对于斜视度≥+60 PD的AACE患者,双眼内直肌注射5.0 IU BTA可以取得与传统眼外肌手术相当的效果,且其具有创伤小,操作简单方便的优势。
文摘目的:探究A型肉毒素(Botulinum toxin A for therapeutic use,BTXA)不同分区多点注射对下睑纹改善中的美学效果及安全性。方法:选取2021年6月至2022年7月期间本院门诊收治的存在下睑纹的患者180例作为研究对象,随机分成对照组和观察组,每组90例。对照组采用BTXA三点注射法,观察组采用BTXA不同分区多点注射法,治疗时长m。比较两组的瘙痒程度、下睑纹改善情况、美学效果(Global aesthetic improvement scale,GAIS)、不良反应和满意度。结果:观察组瘙痒评分高于对照组(P<0.05);与治疗前相比,两组的皱纹分级评分降低,GAIS评分增加(P<0.05),其中观察组更为显著(P<0.05);观察组不良反应发生率低于对照组(P<0.05);观察组的满意率高于对照组(P<0.05)。结论:采用BTXA不同分区多点注射相比于三点注射具有更高的疗效、美学效果和安全性,提高患者满意度。
文摘To the Editor:The patient was a 16-year-old adolescent boy who was diagnosed with congenital megacolon.He had difficulty with defecating for more than 10 years.His bowel movements stopped more than 1 week ago.He was admitted to the hospital with incomplete intestinal obstruction.The patient showed signs of moderate nutrition,poor mental health,and full abdominal bulging and had an abdominal circumference of 104 cm. Rectal examination showed blasting exhaust and defecation, and the anal pressure measurement value was 89 mmHg.The total abdominal augmentation computed tomography and total colorectal sputum angiography showed that the upper and middle rectum,descending colon,transverse colon,and ascending colon were dilated,the maximum diameter of the intestine was 23 cm,and the intestine was filled with feces, suggesting that the lower rectum and sigmoid colon were narrow [Figure 1a and 1b].
