甲状腺相关眼病眼肌损害的手术治疗  

Surgical treatment for extraocular muscle lesions of thyroid associated ophthalmopathy

作　　者：庞友鉴[1] 汪自文 陈智聪[1] 艾思明[1] 

机构地区：[1]中山大学中山眼科中心,广州510060 [2]江西省鹰潭市人民医院眼科

出　　处：《中国实用眼科杂志》2005年第4期381-383,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的　探讨甲状腺相关眼病(TAO)伴有眼肌损害手术治疗的适应症、方法与效果。方法　收集1995～2 0 0 1年2 2例(2 4眼)TAO伴有眼肌损害患者,经保守治疗病情稳定后,主要行限制性纤维化眼肌后退术。结果　术后随访6月～5年,平均2 . 5年。痊愈6例(2 7. 3% )、基本痊愈8例(36 . 4 % ) ,好转7例(31. 8% ) ,无效1例(4. 5 % )。结论　手术治疗TAO合并眼肌损害是一种效果良好的治疗方法,手术适应症是有复视或代偿头位。Objective To investigate the indications,techniques and outcome of surgical treatment for extraocular muscle lesions of thyroid-associated ophthlmopathy(TAO).Methods Fibrotic extraocular muscle recession was performed in 24 eyes of 22 TAO patients during 1995 to 2001.Before surgery,the condition had stabilized in all cases following conservative medical treatment.Results After a mean follow-up of 30 months(6 months to 5 years),6 eyes(27.3%)were cured,and 8 eyes(36.4%)were basically cured.Seven eyes(31.8%)were improved,and 1 eye(4.5%)was of no effect.Conclusions Fibrotic extraocular muscle recession is an effective treatment for extraocular muscle lesions of thyroid-associated ophthalmopathy if diplopia or compensatory head position is present.

关 键 词：手术治疗 甲状腺相关眼病 肌损害 1995-2001年 手术适应症 保守治疗 术后随访 治疗方法 代偿头位 手术方法 后退术 纤维化 限制性 TAO 眼外肌 

分 类 号：R771.3[医药卫生—眼科] R576[医药卫生—临床医学]