学科分类
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3 个结果
  • 简介:目的探讨鼻内镜结合电子鼻咽喉镜在鼻窦手术中的应用。方法对32例上颌窦侧壁与底壁交界处囊肿,16例蝶窦囊肿,12例真菌球性上颌窦炎,采用鼻内镜和电子鼻咽喉镜相结合进行手术治疗。结果所有患者均一次手术成功,术中出血较少,平均约(20±3)mL。术后随访6个月,复查见鼻窦自然开口均无闭锁或粘连,所有患者均未见复发。结论鼻内镜结合电子鼻咽喉镜在鼻窦手术中,尤其是对上颌窦前壁、前壁与底壁交界处,蝶窦底壁、侧壁病灶的清除,能在尽可能减少窦口开窗范围的情况下,充分发挥各内镜的优点,以达到微创目的。

  • 标签: 鼻窦 鼻内镜 电子鼻咽喉镜
  • 简介:AIM:Toevaluatetheaccuracyofsphericalequivalent(SE)estimatesofadouble-passsystemandtocompareitwithretinoscopy,subjectiverefractionandatablemountedautorefractor.METHODS:Non-cycloplegicrefractionwasperformedon125eyesof65healthyadults(age23.5±3.0years)fromOctober2010toJanuary2011usingretinoscopy,subjectiverefraction,autorefraction(AutokeratorefractometerTOPCONKR-8100,Japan)andadoublepasssystem(OpticalQualityAnalysisSystem,OQAS,VisiometricsS.L.,Spain).Nineconsecutivemeasurementswiththedouble-passsystemwereperformedonasubgroupof22eyestoassessrepeatability.ToevaluatethetruenessoftheOQASinstrument,theSElaboratorybiasbetweenthedoublepasssystemandtheothertechniqueswascalculated.RESULTS:TheSEmeancoefficientofrepeatabilityobtainedwas0.22D.SignificantcorrelationscouldbeestablishedbetweentheOQASandtheSEobtainedwithretinoscopy(r=0.956,P<0.001),subjectiverefraction(r=0.955,P<0.001)andautorefraction(r=0.957,P<0.001).ThedifferencesinSEbetweenthedouble-passsystemandtheothertechniquesweresignificant(P<0.001),butlackedclinicalrelevanceexceptforretinoscopy;Retinoscopygavemorehyperopicvaluesthanthedouble-passsystem-0.51±0.50Daswellasthesubjectiverefraction-0.23±0.50D;Moremyopicvalueswereachievedbymeansofautorefraction0.24±0.49D.CONCLUSION:Thedouble-passsystemprovidesaccurateandreliableestimatesoftheSEthatcanbeusedforclinicalstudies.Thistechniquecandeterminethecorrectfocuspositiontoassesstheocularopticalquality.However,ithasarelativelysmallmeasuringrangeincomparisonwithautorefractors(-8.00to+5.00D),andrequirespriorinformationontherefractivestateofthepatient.

  • 标签: DOUBLE-PASS system optical quality RETINOSCOPY autorefraction