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目的探讨眼眶静脉曲张经眼眶直接栓塞治疗的可能性。设计回顾性病例系列。研究对象5例眼眶静脉曲张患者(5眼),男2例,女3例。方法随机选择5例临床诊断明确的眼眶静脉曲张患者,采用全麻下开眶或直接穿刺畸形静脉,在X线监视下首先注入碘油显示病变范围和位置,然后注入栓塞剂GLUBRAN2 0.6-1.4ml,并观察畸形静脉栓塞情况直至颈部加压后眼眶病变不再扩大。主要指标视力、眼球运动、眼球突出度。结果随访4～6个月,5例患者中3例畸形血管全部栓塞,眼球内陷消失,加压后眼球无明显突出;2例症状明显改善,存在少许畸形病变。2例眼球运动轻度障碍,术后3天均消失。无一例视力下降或丧失。结论经眼眶直接栓塞治疗眼眶静脉曲张效果满意且安全。(眼科,2007,16:301-304)
Objective To investigate the possibility of direct orbital orbital varicose vein embolization. Design retrospective case series. 5 cases of patients with orbital varices (5 eyes), 2 males and 3 females. Methods Five randomly selected patients with clinically diagnosed orbital varices were treated with open orbital or direct perforation of the deformity vein under general anesthesia. First, iodized oil was injected into the lesion to reveal the extent and location of the lesion under X-ray monitoring. The embolizing agent GLUBRAN2 0.6-1.4ml , And observed abnormal venous embolism until the neck pressure orbital lesions no longer expanded. The main indicators of vision, eye movement, eyeball protrusion. Results All the patients were followed up for 4 to 6 months. Three of the 5 patients were embolized by deformity vessels, and the enophthalmus disappeared. There was no obvious protrusion of the eyeball after pressure application. The symptoms of 2 patients were obviously improved with some deformities. 2 cases of mild eye movement disorder, disappeared after 3 days. No case of vision loss or loss. Conclusions Direct orbital embolization of the orbital varices is satisfactory and safe. (Ophthalmology, 2007, 16: 301-304)