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[摘要]
目的:探讨青少年与成年人在两种不同麻醉方法后的斜视手术治疗效果及对患者心理健康的影响。 方法:回顾性分析我科2004-01/2008-04在单纯局部麻醉后行斜视手术146例及2008-07/2011-07在局部麻醉联合神经安定后行斜视手术90例患者的疗效比较。 结果:单纯局部麻醉后斜视手术146例,术后眼位矫正134例,欠矫10例,二次手术2例,无1例过矫;局部麻醉联合神经安定后斜视手术90例,术后眼位矫正85例,欠矫5例,无1例二次手术。 结论:在局部麻醉联合神经安定后进行斜视矫正术可减少患者术中因精神紧张及疼痛所致的眼位表现异常,从而减少二次手术的几率,明显提高手术治愈率。
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[Abstract]
AIM:To investigate the curative effect on young people and adults in two different ways of anesthesia after surgical treatment of strabismus and influence on mental health of the patient. METHODS:A retrospective analysis was made on 146 cases in our department from January 2004 to April 2008 who underwent strabismus surgery under local anesthesia alone and 90 cases from July 2008 to July 2011 who underwent strabismus surgery under local anesthesia joint nerve stability to compare the efficacy . RESULTS:After strabismus surgery under local anesthesia alone in 146 cases,correction of eye position was in 134 cases and undercorrection in 10 cases, secondary surgery in 2 cases, there was no case of overcorrection.After local anesthesia combined with nerve stability strabismus surgery in 90 cases, postoperative eye position correction was in 85 cases, undercorrection in 5 cases, there was no case of secondary surgery. CONCLUSION:Strabismus surgery under local anesthesia joint nerve stability may reduce the abnormal performance of eye position in patients caused by mental stress and pain, thereby reduce the probability of secondary surgery, significantly improve the cure rate.
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