鼻内镜下部分切除眶内下壁治疗甲亢恶性突眼  

Part of inferomedical orbital wall removal under nasal endoscope for nalignant hyperthyroid exophtahlmos

作　　者：罗晓幸 尹昕[2] 

机构地区：[1]桐柏县人民医院耳鼻咽喉科,河南桐柏474750 [2]南阳市中心医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2012年第18期805-807,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨鼻内镜下眼眶减压术治疗甲亢恶性突眼的疗效。方法:对21例(27眼)严重影响视觉功能或容貌的甲亢恶性突眼患者行鼻内镜下眶内、下壁部分切除术。结果:术后随访6个月～1年(平均7个月),眼球突出度减少2～6mm,平均4.85mm;27眼中术后17眼视力明显提高,9眼无变化,1眼下降。21例中,5例术后有不同程度复视,复视均在3个月以内逐渐自行消失。结论:经鼻内镜眶内、下壁部分切除术治疗恶性突眼具有视野清晰、手术精确、创伤小、并发症少的优点,是治疗甲亢恶性突眼的有效方法。Objective：To investigate the surgical method of inferomedical orbital decompression under nasal endoscope for malignant hyperthyroid exophthalmos and surgical effect. Method： Twenty one cases（27 eyes） of malignant hyperthyroid exophthalmos with poor visual function and appearance received part of inferomedical orbital wall excision, Result：The patients were followed up for 6 to 12 months after surgery. Ocular protrusion recessed 2-6 mm and averaged 4.85ram in all cases.＇ Visual acuity increased in 17 eyes, remained the same in 9 eyes and decreased in 1 eye. Diplopia appeared in 5 cases after surgery and disappeared in 3, months. Conclusion：Part of inferomedical orbital wall excision under nasal endoscope has the advantage of clear visual field, accurate exci.sion, little hurt and complications. It is an effective mettod for malignant hyperthyroid exophthalmos.

关 键 词：甲状腺 恶性突眼 减压术 外科 

分 类 号：R322.5[医药卫生—人体解剖和组织胚胎学]