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发表评论 低温巩膜加固术治疗进行性近视的疗效
- 作者: Pashtaev N.P.1,2, Grigorieva I.N.1
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隶属关系:
- S.N. Fedorov Eye Microsurgery Federal State Institution, the Cheboksary Branch
- I.N. Ulyanov Chuvash State University
- 期: 卷 14, 编号 1 (2021)
- 页面: 43-49
- 栏目: Original study articles
- URL: https://ogarev-online.ru/ov/article/view/59309
- DOI: https://doi.org/10.17816/OV59309
- ID: 59309
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详细
目的: 评估低温巩膜加固术的有效性。
材料和方法: 对184名中度和高度进行性近视的儿童（313只眼睛）（平均年龄为11.72±3.76岁）进行了低温巩膜加固术（观察组）和Pivovarov’s巩膜加固术（对照组）术前及术后对比。
结果: 根据两年随访期间获得的数据，在低温巩膜加固术后的患者组中，折射球面等效的年均差（∆SEm）和前后轴的平均年梯度（∆APAm）都比较小。在较小年龄亚组（9岁以下）的儿童中，观察组的∆SEm为-0.48±0.45D，对照组为-0.51±0.34D；在较大年龄亚组（9岁及以上），观察组为-0.35±0.31D，对照组为-0.69±0.61D（p=0.047）。观察组9岁以下儿童的∆APAm为0.15±0.11毫米，对照组为0.31±0.14毫米（p=0.016）；9岁及以上儿童的∆APAm分别为0.29±0.18毫米和0.34±0.32毫米。
结论: 所开发的低温巩膜加固术在眼球内部有鼻下侧和颞上侧两个手术入口；巩膜加固术材料 均匀地附着在巩膜上，覆盖眼球的四个象限；固定在眼直肌下；观察期为24个月，显示出良好的稳 定效果。
作者简介
Nikolay Pashtaev
S.N. Fedorov Eye Microsurgery Federal State Institution, the Cheboksary Branch; I.N. Ulyanov Chuvash State University
编辑信件的主要联系方式.
Email: pashtaevnp@gmail.com
ORCID iD: 0000-0003-2324-8044
SPIN 代码: 9629-3161
Dr. Sci. (Med.), professor
俄罗斯联邦, 10, Traktorostroiteley str., Cheboksary, 428028; CheboksaryIrina Grigorieva
S.N. Fedorov Eye Microsurgery Federal State Institution, the Cheboksary Branch
Email: grigir09@mail.ru
ORCID iD: 0000-0003-1107-9810
SPIN 代码: 4635-3437
ophthalmologist
俄罗斯联邦, 10, Traktorostroiteley str., Cheboksary, 428028参考
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图.1.结膜和Tenon’s囊切口的位置示意图（左眼）。1—在鼻下象限，2—在颞上象限 Fig. 1. Scheme of the location of the incisions of the conjunctiva and tenon capsule (left eye). 1 – in the inferio-nasal quadrant, 2 – in the superio-temporal quadrant
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图.2.移植物在鼻下象限的位置示意图（左眼）。1—下直肌，2—内直肌 Fig. 2. Layout diagram transplants in the inferio-nasal quadrant (left eye). 1 – m. rectus inferior, 2 – m. rectus medialis
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图.3.移植物在颞上象限的位置示意图（左眼）。1—外直肌，2—上直肌 Fig. 3. Layout diagram transplants in the superio-temporal quadrant (left eye). 1 – m. rectus lateralis, 2 – m. rectus superior
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