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首页> 外文期刊>Acta ophthalmologica Scandinavica >Review of 345 eye amputations carried out in the period 1996-2003, at Rigshospitalet, Denmark
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Review of 345 eye amputations carried out in the period 1996-2003, at Rigshospitalet, Denmark

机译：回顾1996年至2003年在丹麦Rigshospitalet进行的345例截肢术

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摘要

Purpose: The aim of this study was to identify the number of eye amputations, and the causative diagnoses, indications for surgery and surgical techniques applied, and to evaluate a possible change in surgical technique in a tertiary referral centre in Denmark. Methods: The hospital database was screened using surgery codes for patients who had undergone bulbar evisceration, enucleation or orbital exenteration in the period 1996-2003. Patient records were reviewed for gender, age, time since surgery, causative diagnosis (the disease process leading to the indication for amputation), indication for eye amputation, type of surgery and whether an implant was applied. Results: A total of 345 patients were identified as having undergone eye amputation during the 8-year period. Indications for eye amputation were: painful blind eye (127); neoplasm (119); infection (42); recent injury (25); disfiguring blind eye (25); prevention of sympathetic ophthalmia (5), and other reasons (2). Surgical procedures included 174 eviscerations, 154 enucleations and 17 orbital exenterations. The mean number of surgeries per year was 43.1. An orbital implant was applied in 168 patients. Conclusions: The most frequent indications for eye amputation were painful blind eye (37%) and neoplasm (34%). During the study period, the annual number of eye amputations was stable, but an increase in bulbar eviscerations was noticed. Orbital implants were used in 33% of patients in 1996 and 67% in 2003.
机译：目的：本研究的目的是确定眼的截肢次数，病因诊断，手术适应症和手术技术，并评估丹麦第三级转诊中心手术技术的可能变化。方法：采用外科手术程序筛选1996-2003年间进行球囊内脏摘除，摘除或眼眶摘除的患者的医院数据库。对患者记录进行了检查，包括性别，年龄，手术时间，病因诊断（导致截肢的疾病过程），截肢的指征，手术类型以及是否使用了植入物。结果：在这8年中，总共345例患者被截肢。截肢的指征为：痛苦的盲眼（127）;肿瘤（119）;感染（42）;最近受伤（25）;毁容视力（25）;预防交感性眼炎（5）和其他原因（2）。手术程序包括174处内脏摘除，154处摘除和17次眼眶切除。每年平均手术次数为43.1。眼眶植入物用于168例患者。结论：截肢最常见的适应症是痛苦的盲眼（37％）和肿瘤（34％）。在研究期间，每年的眼睛截肢次数是稳定的，但是注意到球囊内脏的增加。在1996年和2003年，有33％的患者使用了眼眶植入物。

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