中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
4期
504-506
,共3页
斜视手术%面部表情评分%“内翻”缝合
斜視手術%麵部錶情評分%“內翻”縫閤
사시수술%면부표정평분%“내번”봉합
Strabismus surgery%Face rating scale%Inverting suture
目的 应用面部表情分级评分(FRS),观察予以改良结膜缝合的斜视矫正术患者的疼痛情况及结膜愈合情况.方法 对2011年6月至2012年7月在承德县医院眼科进行斜视矫正术的患者60例(120只眼),随机选择1只眼术中予以结膜改良缝合,另1只眼则予以结膜传统缝合,术后6h予以面部表情评分和比较.结果 60例(120只眼)斜视患者中,术后6h结膜改良缝合FRS评分为3级的10 (16.67％)只眼,评分为2级的22 (36.67％)只眼,评分为1级的25 (41.67％)只眼,评分为0级的3(5％)只眼.结膜传统缝合FRS评分为5级的1(1.67％)只眼,评分为4级的10 (16.67％)只眼,评分为3级的26 (43.33％)只眼,评分为2级的18 (30％)只眼,评分为1级的5(8.33％)只眼.两种结膜缝合方式的术后切口愈合情况相同,但改良后患者术后眼磨、眼痛等刺激症状明显减轻.结论 予以改良结膜缝合安全可行,术后患者不适疼痛症状明显减轻,缝合娴熟后,二种缝合方式耗时没有明显差异.
目的 應用麵部錶情分級評分(FRS),觀察予以改良結膜縫閤的斜視矯正術患者的疼痛情況及結膜愈閤情況.方法 對2011年6月至2012年7月在承德縣醫院眼科進行斜視矯正術的患者60例(120隻眼),隨機選擇1隻眼術中予以結膜改良縫閤,另1隻眼則予以結膜傳統縫閤,術後6h予以麵部錶情評分和比較.結果 60例(120隻眼)斜視患者中,術後6h結膜改良縫閤FRS評分為3級的10 (16.67％)隻眼,評分為2級的22 (36.67％)隻眼,評分為1級的25 (41.67％)隻眼,評分為0級的3(5％)隻眼.結膜傳統縫閤FRS評分為5級的1(1.67％)隻眼,評分為4級的10 (16.67％)隻眼,評分為3級的26 (43.33％)隻眼,評分為2級的18 (30％)隻眼,評分為1級的5(8.33％)隻眼.兩種結膜縫閤方式的術後切口愈閤情況相同,但改良後患者術後眼磨、眼痛等刺激癥狀明顯減輕.結論 予以改良結膜縫閤安全可行,術後患者不適疼痛癥狀明顯減輕,縫閤嫻熟後,二種縫閤方式耗時沒有明顯差異.
목적 응용면부표정분급평분(FRS),관찰여이개량결막봉합적사시교정술환자적동통정황급결막유합정황.방법 대2011년6월지2012년7월재승덕현의원안과진행사시교정술적환자60례(120지안),수궤선택1지안술중여이결막개량봉합,령1지안칙여이결막전통봉합,술후6h여이면부표정평분화비교.결과 60례(120지안)사시환자중,술후6h결막개량봉합FRS평분위3급적10 (16.67％)지안,평분위2급적22 (36.67％)지안,평분위1급적25 (41.67％)지안,평분위0급적3(5％)지안.결막전통봉합FRS평분위5급적1(1.67％)지안,평분위4급적10 (16.67％)지안,평분위3급적26 (43.33％)지안,평분위2급적18 (30％)지안,평분위1급적5(8.33％)지안.량충결막봉합방식적술후절구유합정황상동,단개량후환자술후안마、안통등자격증상명현감경.결론 여이개량결막봉합안전가행,술후환자불괄동통증상명현감경,봉합한숙후,이충봉합방식모시몰유명현차이.
Objective To compare the postoperative pain after refined conjunctiva closure and traditional conjunctiva closure,using face rating scale (FRS),and the effects on healing process of conjunctiva.Methods One eye was randomly chosen to perform refined conjunctiva closure and the other eyes to perform traditional conjunctiva closure of the 60 strabismus patients.Then FRS was used to access pain levels of both eyes of each patient at 6 hours postoperative.Results Of 60 eyes given refined conjunctiva closure,10 eyes (16.67％) were at level 3,42 (70％) at level 2,5 (8.33％) at level 1,and 3 (5％) at level 0.Within the 60 eyes receiving traditional conjunctiva closure,there were 1 (1.67％) eye at level 5,l0 (16.67％) at level 4,26 (43.33％) at level 3,18 (30％) at level 2,and 5 (8.33％) at level 1.There was no difference between the two conjunctiva-closure methods in the healing process of conjunctiva.Only were comfort and painless noticed.Conclusions Refined conjunctiva closure is safe and effective with less pain and discomfort in strabismus surgeries.With skilled closure technique,there is no difference in the time consumed by the two methods.
