| 眶周注射曲安奈德联合球后放疗治疗甲状腺相关眼病 |
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| 引用本文： | 谢川,肖潇,周溯.眶周注射曲安奈德联合球后放疗治疗甲状腺相关眼病[J].西部医学,2011,23(3):527-529. |
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| 作者姓名： | 谢川 肖潇 周溯 |
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| 作者单位： | 1. 南充市高坪区人民医院五官科,四川,南充,637100
2. 四川石油管理局石油总医院,四川,成都,610213 |
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| 摘 要： | 目的探讨眶周注射曲安奈德联合球后放疗治疗甲状腺相关眼病的疗效。方法本院治疗甲状腺相关性眼病患者82例132眼,随机分为联合治疗组40例和对照组42例：联合治疗组给予眶周注射曲安奈德10 mg联合球后放疗;对照组仅给予眶周注射曲安奈德20 mg。分别测量两组患者治疗前后的眼球突出度及睑裂宽度,观察眼球运动及自觉症状,并行眼眶CT检查眼外肌和眶周组织水肿改善情况。结果联合治疗组治疗前后眼球突出度、睑裂宽度差异有显著性（P〈0.05）,对照组治疗前后眼球突出度差异有显著性（P〈0.05）,联合治疗组眼球突出度、睑裂宽度的降低值较对照组明显,两者差异有显著性（P〈0.05）。两组患者复视及眼球运动都有改善,CT检查眼外肌和眶周组织水肿都有所改善,但联合治疗组改善率为80%,治疗组改善率为70%。结论眶周注射曲安奈德联合球后放疗是治疗甲状腺相关眼病的一种有效方法,治疗效果优于单用眶周注射曲安奈德。
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| 关 键 词： | 眶周注射 曲安奈德 甲状腺相关疾病 球后放疗 |
Observation of curative effect of triamcinolone acetomide periocular injection combined with retro-orbital radiation on TAO |
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| XIE Chuan,XIAO Xiao,ZHOU Shuo.Observation of curative effect of triamcinolone acetomide periocular injection combined with retro-orbital radiation on TAO[J].Medical Journal of West China,2011,23(3):527-529. |
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| Authors: | XIE Chuan XIAO Xiao ZHOU Shuo |
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| Institution: | XIE Chuan,XIAO Xiao,ZHOU Shuo(Department of Otolaryngology,The People's Hospital of Gaoping,Nanchong 637100,Sichuan,China) |
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| Abstract: | Objective To explore the curative effect of triamcinolone acetomide(TA) periocular injection combined with retro-orbital radiation on TAO.Methods 82 cases(132 eyes) with TAO were randomly selected.According to different methods of therapy,the patients were randomly divided into two groups: combined therapy group with 10mg TA periocular injection and retroorbital radiation and control group with 20mg TA w only.The degree of exophalmus and width of palpebral fissure were measured and their symptoms and ocular... |
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| Keywords: | Periocular injection Triamcinolone acetomide Thyroid-associated ophthalmopathy Retro-orbital radiation |
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