【摘要】 目的:探讨鼻内镜下眼眶减压术治疗甲亢恶性突眼的疗效。方法:对21例(27眼)严重影响视觉功能或容貌的甲亢恶性突眼患者行鼻内镜下眶内、下壁部分切除术。结果:术后随访6个月～1年(平均7个月),眼球突出度减少2～6mm,平均4.85mm;27眼中术后17眼视力明显提高,9眼无变化,1眼下降。21例中,5例术后有不同程度复视,复视均在3个月以内逐渐自行消失。结论:经鼻内镜眶内、下壁部分切除术治疗恶性突眼具有视野清晰、手术精确、创伤小、并发症少的优点,是治疗甲亢恶性突眼的有效方法。更多还原

【Abstract】 Objective:To investigate the surgical method of inferomedical orbital decompression under nasal endoscope for malignant hyperthyroid exophthalmos and surgical effect.Method:Twenty one cases(27eyes)of malignant hyperthyroid exophthalmos with poor visual function and appearance received part of inferomedical orbital wall excision.Result:The patients were followed up for 6to 12months after surgery.Ocular protrusion recessed 2-6mm and averaged 4.85mm in all cases.Visual acuity increased in 17eyes,remained the same in 9eyes and decreased in 1eye.Diplopia appeared in 5cases after surgery and disappeared in 3months.Conclusion:Part of inferomedical orbital wall excision under nasal endoscope has the advantage of clear visual field,accurate excision,little hurt and complications.It is an effective method for malignant hyperthyroid exophthalmos.更多还原