论文部分内容阅读
目的观察在表面麻醉下进行斜视显微手术的效果。方法表面麻醉剂0.5%爱尔卡因于铺巾前,开睑前及每条眼外肌手术前各滴1次后在显微镜下行斜视矫正术。观察麻醉效果,术中、术后并发症及手术效果。结果120例斜视手术麻醉效果达Ⅰ级者89例(74.17%),Ⅱ级者31例(25.83%),Ⅲ级者0例;术中视野清晰,操作精确,无一例肌肉误勾、漏勾、滑脱发生,术中出血少,术后反应轻,未出现并发症,所有患者均获得预期的手术效果。结论表面麻醉下的斜视显微手术安全可行,操作简便,手术快捷,美容效果好。娴熟的显微手术技巧以及因人而异选择合作病例是表面麻醉手术成功的保证。
Objective To observe the effect of strabismus microsurgery under surface anesthesia. Methods The topical anesthetic 0.5% Alkalin was strabismus corrected with a microscope before the drape, anterior eyelid and each extra-ocular muscle before surgery. Observed anesthesia, intraoperative and postoperative complications and surgical results. Results There were 89 cases (74.17%) of grade Ⅰ in the 120 cases of strabismus operation, 31 cases (Ⅱ) in grade Ⅱ and 0 cases in Ⅲ class. The visual field was clear and the operation was accurate without any mistakes , Spondylolisthesis occurred, less intraoperative bleeding, postoperative reaction was light, no complications occurred, all patients received the expected surgical results. Conclusion Strabismus microsurgery under surface anesthesia is safe and feasible, easy to operate, quick to operate and good in cosmetic effect. Skillful microsurgical techniques and patient-specific selection of co-operatives are a guarantee of successful surface anesthesia.