|
@́A@@Eߍ]Y19N421ɊJÂ܂u㐧x46uKvɂāwuvC}EPAEV[Y42vΎE؎p̐ixƂe[}ɂāuǏ؊JΎpvƂɂčus܂̂ŁA̍ۂ̎e]ڂ͂܂B
@Ύp̌؊J@1j2jƂāA@֕؊J@ilimbal incisionjAAٗ؊J@itransconjunctival
incision in the palpebral openingkSwanljAB~W؊J@itransconjunctival incision
in the cul-de-sackParkslĵR\Ił邪AꂼɈ꒷ZB
@@֕؊J@́AݍłpĂ@ŁALpŊmȎp\ł邪A؊JnL͂ɋyԂƂANPpፍemgD̉ߌ`NՂB
@Aٗ؊J@io؊J@j́A̕tt߂ɕtƕsɈ{̐؊J@ŁA̘Io܂ł̎Ԃ͒ZpNPȂA؎płٗɐ؊JnIo邱Ƃ琮eIɕsƂȂB
@B~W؊J@́Ả܂͏ɋ̑sƕsɈ{̌؊J@ŁA؊Jn͒ZNPȂAȑnʂđsߎZώGŏnv̂_Ƃ܂ōlĂB
@AΎÂ̖ړIƂāAp҂͎@\̉PɊwpIDꂪł邪A҂̍őSeẻɂ邱Ƃ͏ȂȂBŋ߂ɂȂAGuyton̏؊JΎp3j4jiParks~W؊J@ǂ́j͂߂Ƃ錋Ȃׂ؊JŎΎpsp҂B
@@łȂׂSɂČł̏؊JΎpS|ĂAł͎ۂ̎pZ𒆐Sɂb\łB
iPj؊JOɌ蓧Ă݂ړI̗֊smFĂƂłdvłBʂɍ҂ł͌eՂɂ킩邪AǗɂ킩ꍇ́AI͑IɊዅƂŁAړIƂ钼̑Oїl̓Ö̓ƘAēȂƂ蒼̗֊sm邱ƂłB
iQjIɗΓp͂߂ƂΎȊO̎p\Ap㐮elAȂׂуemւ̐NPȂȂ悤ȍŏ̌؊J@iłΐjIB
iRjł邾؊JnAقʼnB悤zB
iSj ̑sɂ錋؊J͔B
iTjʂɔNȂɂāA̒e⋭xቺ̂ŁAᒆNłȂǗł͏؊J͂߂ĂAKvɉčŏ̂Ȃ錋؊JSOȂljKv
B
@SgŎ{sKv̂ȂΎpŋǏiׂăemXjpĂBƂĂ͑O͍sĂȂ BǏł̎Ύpł́AɊ͍̌ŏƂAS˂uɂȂ悤ɁAJɊKvƂƂɁAvocal
anesthesiaiƗ\z銴o炩ߍ邱ƂɂA҂͗]TĂełjdvłB܂p̔Ε݂悤ɖ邱ƂłBemX̎ZƂẮA_ᖃł̌iуemj؊JA؊J[쎮s|Cg24Q[WjiݐjjɉĊዅ܂œA2ELVJC iGsltY2_hJCjQ`Rmli܂萶Ȃx̍őʁj𒍓AړI،Q͂ɏ\Z܂ő҂悤ɐS|ĂB
@ʂɌ݂̏p҂Apgp{o[y͗ŎΎpsĂB̗RƂẮAړIɑčłAv[`₷ꏊp삪\ł邱ƂApւ̊Cɂp\ł_BAŋ߂̎pł͑ΕY̏œ_200mm̂̂yĂĂA؎p܂ނׂĂ̎ΎpŎpiΕY̏œ_200mmjgpĂBœ_200mmƁAʂ̎Ύpɂ銱܂Cɂp\łApgp̍ő̗_͒͂p҂ɂAg嗦Cӂɑ傫邱ƂtH[JVOɂɖ邢Nȑ邱ƂŁAEؕȂǂ̏pǂ̑邱Ƃ⌋D\Ȍ蒚Jɂł邩łB܂A^łƂ_Bpፍŏɂ邽߂ɂ́Apł̕KvŒ̎~܂߂ɍsƂdvƍlB
i@j
1jHelveston EMFAtlas of Strabismus Surgery.3rd ed.CV Mosby,St Louis,99-119,1985
2jBu FΎp̊{pƗʒ[؎pD۔qviҁjFȐfÃvNeBX4DΎfÂ̎ہDCC132-9C1996
3jGuyton DL Fornix approach with adjustable sutures.inFGottsch JD,Stark
WJ,Goldberg MF(Eds):Ophthalmic Surgery,5th ed Arnold,London,85-91,1999
4jJC쒆MCRMiCTC匎mFGuyton̏؊JΎpƎp.Պ55F1767-70C2001
|