Clifford Terry滑结联合可调节缝合在斜视手术中的应用

目的：探讨Clifford Terry滑结联合可调节缝合在斜视手术中的临床应用。方法：采取回顾性研究方法,选取我院2012-05/2015-05收治的行常规斜视矫正术的45例71眼患者（对照组）与应用Clifford Terry滑结斜视矫正术45例70眼患者（研究组）为研究对象,对其术后随访1d~12mo。观察术后眼位、有无调整眼位及是否有二次手术,对术后眼位与术前眼位矫正变化情况比较分析。结果：术后第1d Clifford Terry滑结联合可调节缝合达正位42例67眼,1例1眼过矫,2例2眼欠矫,正位率为96%。经过Clifford Terry滑结调整松紧,正位率达到100%,研究组1、3...

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Published in国际眼科杂志 Vol. 17; no. 3; pp. 526 - 528
Main Author 张建军 王霁雪 岳以英
Format Journal Article
LanguageChinese
Published 宁波眼病中心医院, 中国浙江省宁波市,316000%长春易视顿眼科医院, 中国吉林省长春市,130000%天津眼科医院, 中国天津市,300000 2017
Subjects
Clifford
Terry滑结
可调节缝合
斜视手术
Clifford Terry滑结
可调节缝合
adjustable suture
strabismus surgery
斜视手术
Clifford Terry slippery knot
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Summary:目的：探讨Clifford Terry滑结联合可调节缝合在斜视手术中的临床应用。方法：采取回顾性研究方法,选取我院2012-05/2015-05收治的行常规斜视矫正术的45例71眼患者（对照组）与应用Clifford Terry滑结斜视矫正术45例70眼患者（研究组）为研究对象,对其术后随访1d~12mo。观察术后眼位、有无调整眼位及是否有二次手术,对术后眼位与术前眼位矫正变化情况比较分析。结果：术后第1d Clifford Terry滑结联合可调节缝合达正位42例67眼,1例1眼过矫,2例2眼欠矫,正位率为96%。经过Clifford Terry滑结调整松紧,正位率达到100%,研究组1、3、6、12mo术后眼位情况与对照组矫正正位效果比较未见明显差异。两组均未出现结膜裂开、肌肉滑脱、感染等术后并发症。采用Clifford Terry滑结联合可调节缝合在术中及术后早期对眼位进行微调,可即刻达到目标眼位。结论：Clifford Terry滑结术中操作简单、术后调整缝线松紧容易操作,联合可调节缝合在斜视手术的术中及术后早期表面麻醉下即可达到目标眼位,减低术后早期二次手术的风险,优于单纯可调节缝合法。
Bibliography:Jian-Jun Zhang;Ji-Xue Wang;Yi-Ying Yue （Ningbo Advanced Eye Hospital;Changchun Easy As Burton Hospital;Tianjin Ophthalmic Hospital）
Clifford Terry slippery knot; adjustable suture; strabismus surgery
61-1419/R
AIM：To study the clinical application of Clifford Terry slippery knot combined with adjustable suture in strabismus surgery.METHODS：By adopting the method of retrospective study,from May 2012 to May 2016,45 patients（71 eyes）underwent conventional strabismus correction and 45patients（70 eyes） who underwent Clifford Terry slanting correction were selected as control subjects the study subjects.The patients were followed up for 1d-12 mo.Observation of postoperative eye,adjusted eye position and whether or not had a second operation were taken.Postoperative eye position was compared with preoperative eye position.RESULTS：After Clifford Terry suture combined with adjustable suture,42 cases with 67 eyes reached the anteroposterior position on the first day,one eye reached overcorrection,two eyes undercorrection.
ISSN:1672-5123
DOI:10.3980/j.issn.1672-5123.2017.3.35