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恶性内分泌性突眼症是一个少见而不能解释的甲状腺毒症合并症。球后肌肉及脂肪细胞变肥大,产生明显的眼眶后部组织体积增加。为预防因压迫视神经引起的视力丧失,采用了手术切除眼眶内、外侧壁或眶顶及眶底。手术是为了减压或使该病停止发展。作者作了两侧手术取出眼肌及脂肪标本,分析了生长介素C(胰岛素类生长因子),两例病人各为53及44岁女性突眼症患者。对照物是给病人作鼓膜成形术时取下小块的外直肌或在矫正斜视时取下的内直肌及脂肪。 突眼手术是切除鼻侧眶壁并切开骨膜使眶内组织向腔鼻内突。缺损的骨膜处用别处骨膜移植覆
Malignant endocrine exophthalmos is a rare and unexplained thyrotoxicosis complication. After the ball muscles and fat cells become hypertrophy, resulting in significant orbital tissue volume increases. To prevent the loss of vision due to compression of the optic nerve, surgical removal of the orbital, lateral wall or orbital roof and orbital floor. Surgery is to decompression or stop the development of the disease. The authors performed ophthalmic and liposurgical procedures on both sides of the surgery, analyzed growth hormone C (insulin-like growth factor), and two patients with both 53 and 44-year-old women with exophthalmos. The control was to remove the small external rectus abdominoplasty for tympanoplasty or the medial rectus muscle and fat removed during correction of strabismus. Exophthalmos surgery is the removal of the nasal orbital wall and cut the periosteum so that intraorbital tissue to the cavity of the nose and internal protrusion. Periosteum defects at other places covered with periosteum graft