■一些研究报告了外展神经麻痹的手术结果,但有关影响治疗成功的因素的信息仍然缺乏。这些因素对于制定治疗计划和提供疾病咨询至关重要。本研究旨在探讨斜视手术治疗外展神经麻痹的效果,并确定影响其成功的因素。包括相关文献的回顾。
■这项回顾性分析包括外展神经麻痹病例,专注于手术干预和相关患者数据,2012年4月1日至2022年4月30日在Phramongkutklao医院门诊就诊。相关文献综述包括手术成功率和影响手术结果的因素。
■这项研究招募了32名患者,包括19例部分外展神经麻痹和13例完全外展神经麻痹。斜视手术的总体成功率为78.1%。创伤是该人群中外展神经麻痹的主要原因(28.13%)。Fisher的精确和Mann-WhitneyU检验显示,在两组中,较短的外展神经麻痹发作和较小的术前角度与斜视手术的成功手术结果显着相关。相比之下,亚组分析显示,在水平斜视手术中,只有术前较小的角度与良好的手术结局显著相关.然而,垂直直肌转位组无显著因素。文献综述显示,外展神经麻痹的手术成功率为水平直肌手术的25%-82.6%,直肌移位的手术成功率为46.2%-91%。
■外展神经麻痹手术成功率达78.1%,部分外展神经麻痹占78.95%,完全性外展神经麻痹占76.92%。值得注意的是,手术前起病时间较短,术前角度较小,与术后1年的成功手术结局显著相关.
已经进行了许多研究来确定眼肌手术治疗外展神经麻痹的有效性。然而,仍然缺乏有关可能影响治疗成功率的各种因素的信息。了解这些因素对于为患有这种疾病的个体制定适当的治疗计划和指导至关重要。我们的研究旨在检查斜视手术治疗外展神经麻痹的有效性,并确定影响其成功的因素。这是通过回顾相关文献并分析2012年4月1日至2022年4月30日Phramongkutklao医院的病例来实现的。我们纳入了32例部分或完全外展神经麻痹患者,创伤是导致我们组疾病的主要原因。结果显示,78.1%的病例手术成功。我们的分析显示,在麻痹开始后更早进行手术,并且在手术前具有较小的错位角度与更好的结果相关。然而,这些因素只对水平眼肌手术很重要,不是垂直肌肉移位.以前的研究报告这种情况的成功率从25%到91%不等。我们的研究得出结论,早期手术和某些术前因素可以改善眼肌手术后外展神经麻痹患者的预后。
UNASSIGNED: Several studies reported surgical outcomes for abducens nerve palsy, but information on factors that affect treatment success remains lacking. These factors are crucial for developing a treatment plan and providing disease counseling. This study aimed to investigate the outcomes of strabismus surgery for abducens nerve palsy and determine the factors that influence its success, including a
review of relevant literature.
UNASSIGNED: This retrospective analysis included abducens nerve palsy cases, focusing on surgical interventions and relevant patient data, at the outpatient clinics of Phramongkutklao Hospital from April 1, 2012, to April 30, 2022. A relevant literature
review included the surgical success rate and factors that influence surgical outcomes.
UNASSIGNED: This study enrolled 32 patients, including 19 with partial and 13 with complete abducens nerve palsy. The overall success rate of strabismus surgery was 78.1%. Trauma was the leading cause of abducens nerve palsy in this population (28.13%). Fisher\'s exact and Mann-Whitney U-tests revealed that shorter abducens nerve palsy onset and smaller preoperative angle were significantly associated with successful surgical outcomes of strabismus surgery among the groups. In contrast, subgroup analysis revealed that only preoperative smaller angles were significantly associated with good surgical outcomes in horizontal strabismus surgery. However, the vertical rectus muscle transposition group demonstrated no significant factors. The literature
review revealed that the success rate of surgery in abducens nerve palsy was 25%-82.6% for horizontal rectus muscle surgery and 46.2%-91% for rectus muscle transposition.
UNASSIGNED: The surgical success rate for abducens nerve palsy reached 78.1%, including 78.95% for partial and 76.92% for complete abducens nerve palsy. Notably, a shorter onset preceding surgery and a smaller preoperative angle significantly correlated with successful surgical outcomes one year postoperatively.
Numerous studies have been conducted to determine the effectiveness of eye muscle surgery for abducens nerve palsy. However, there is still a lack of information on the various factors that can influence the success rate of the treatment. Understanding these factors is crucial for developing appropriate treatment plans and guidance for individuals with this condition. Our study aimed to examine the effectiveness of strabismus surgery for abducens nerve palsy and identify the factors that affect its success. This was achieved by reviewing relevant literature and analyzing cases from Phramongkutklao Hospital between April 1, 2012, and April 30, 2022. We included 32 patients with partial or complete abducens nerve palsy, with trauma being the leading cause of the condition in our group. The results showed that the surgery was successful in 78.1% of cases. Our analysis revealed that getting surgery sooner after the palsy started and having a smaller misalignment angle before surgery were associated with better outcomes. However, these factors only mattered for horizontal eye muscle surgery, not vertical muscle transposition. Previous studies have reported success rates for this condition ranging from 25% to 91%. Our study concludes that earlier surgery and certain preoperative factors can improve outcomes for individuals with abducens nerve palsy after eye muscle surgery.