医学文献中英文对照资料库
本网站整合了散光矫正和腱鞘炎（包括扳机指）治疗相关的医学文献内容，提供中英文对照，方便医学研究和学习参考。
散光矫正 (Astigmatism Correction)
引言 (Introduction)
Astigmatism, a common refractive error characterized by an irregular curvature of the cornea or lens, significantly affects visual development in children. With childhood being a critical period for visual acuity and cognitive development,
散光，一种常见的屈光不正，其特征是角膜或晶状体的不规则弯曲，严重影响儿童的视觉发育。由于儿童时期是视力和认知发展的关键时期，
The management of astigmatism in children and adolescents is a multifaceted challenge that requires tailored approaches for effective correction and treatment. A combination of surgical and non-surgical strategies appears essential to optimize visual acuity and prevent long-term complications. Further research is needed to refine these interventions, develop age-specific protocols, and enhance overall outcomes for pediatric patients with astigmatism. Early detection and individual-focused management plans will significantly contribute to improving visual outcomes and quality of life in affected children.
儿童和青少年的散光管理是一个多方面的挑战，需要针对有效矫正和治疗制定个性化方法。手术和非手术策略的组合似乎对于优化视力清晰度和预防长期并发症至关重要。需要进一步研究以完善这些干预措施，制定年龄特定的方案，并提高患有散光的儿童患者的整体治疗效果。早期发现和以个体为中心的管理计划将显著有助于改善受影响儿童的视力结果和生活质量。
The ongoing development of innovative lens designs, like the defocus incorporated multiple segments (DIMS) lenses, targets astigmatism while mitigating myopia progression
正在进行的创新镜片设计开发，如包含多重区域离焦（DIMS）镜片，旨在矫正散光同时减缓近视进展
Importance of Early Detection: Studies emphasize the necessity for early detection and intervention strategies for pediatric astigmatism to prevent amblyopia and ensure optimal development of visual function. Regular screening and prompt referral to specialists are crucial steps in managing visual health within this demographic.
早期发现的重要性：研究强调了对儿童散光进行早期发现和干预策略的必要性，以防止弱视并确保视觉功能的最佳发展。定期筛查并及时转诊给专科医生是管理这一人群视力健康的关键步骤。
角膜扩张眼中托里克人工晶状体计算
Eyes With Corneal Ectasia. 角膜扩张眼中托里克人工晶状体计算。
Journal of refractive surgery (Thorofare, N.J. : 1995) 《屈光手术杂志》（Thorofare, N.J. : 1995）
2025
Journal Article 期刊文章
Olga Reitblat, Rita Zlatkin, Nili Golan, Lior Or, Adi Einan-Lifshitz, Uri Elbaz, Irit Bahar, Ruti Sella 奥莉加·莱特布拉特，丽塔·兹拉特金，尼利·戈兰，利奥·奥尔，阿迪·埃伊南-利夫希茨，乌里·埃尔巴兹，伊瑞特·巴赫尔，鲁蒂·塞拉
环曲面角膜塑形镜研究
0.03, 0.04, 0.02, 0.05）。受试者工作特征曲线分析显示，逻辑回归模型的曲线下面积为0.82，95%置信区间为（0.69, 0.95），敏感性为88%，特异性为72%，Youden指数为0.61。结论：环曲面角膜塑形镜对中高度散光近视青少年具有减缓近视进展的潜在疗效。年龄较大、近视程度较重、基线眼轴长度较长的患者近视进展控制效果更显著。
用于矫正不规则散光的巩膜镜
Scleral lenses for correction of irregular astigmatism: advances and limitations. 用于矫正不规则散光的巩膜镜：进展与局限性。
Current opinion in ophthalmology 当前眼科观点
2025
Sofya Gindina, Joann J Kang, Deborah S Jacobs
巩膜镜的作用机制
通过跨越角膜并贴合巩膜，巩膜镜能够矫正角膜散光，同时为高级光学系统提供一个稳定且舒适的表面。在过去的二十年间，巩膜镜的使用量有所增加，这反映了配戴系统的进步、更广泛的可及性、临床医生的更大采纳度、更广泛的病人资格以及临床效果的改善。
过度屏幕时间与儿童散光
Association of excessive screen time exposure with ocular changes leading to astigmatism in children. 过度屏幕时间暴露与儿童视力变化导致散光的关系。
PloS one
2025
Journal Article 期刊文章
Mutahir Shah, Satheesh Babu Natarajan, Nafees Ahmad 穆塔希尔·沙赫，萨蒂什·巴布·纳塔拉jan，纳菲斯·阿汉德
DOI: 10.1371/journal.pone.0317961 PMID: 40168308
高度近视患者散光矫正比较
[Comparison of astigmatism correction after limbal relaxing incisions combined with ICL implantation and Toric ICL implantation in patients with high myopia]. [高度近视患者行角膜散光切开联合ICL植入术与Toric ICL植入术的散光矫正效果比较]
[Zhonghua yan ke za zhi] Chinese journal of ophthalmology [中华眼科杂志] 中国眼科杂志
2025
Y H Wang, K Yang, S M Liu, X X Li, L Y Qiao 王亚红，杨凯，刘思敏，李晓晓，乔丽雅
DOI: 10.3760/cma.j.cn112142-20241005-00434 PMID: 40484853
狼牙钳与Z.S.固定技术
wolf-toothed forceps combined with Z.S. fixation technique provides effective and safe single-piece toric IOL scleral fixation in complex aphakic eyes with significant corneal astigmatism lacking lens capsule support, achieving predictable refractive correction and stable visual rehabilitation without serious postoperative complications. The technique shows particular promise for cases where traditional IOL scleral fixation is not feasible.
本研究介绍了一种创新的外科器械——"狼牙钳"，并评估了其与Z.S.固定技术在治疗无晶状体囊支持的显著角膜散光性盲眼中临床应用的效果。这是一项初步的病例系列和干预性研究。创新的"狼牙钳"结合Z.S.固定技术应用于需要二次散光矫正型人工晶状体（IOL）植入的散光性无晶状体眼。所有患者均接受了眼科检查，包括裂隙灯摄影和扫频光学相干断层扫描，以定量评估散光型IOL的位置。视力测量值转换为最小分辨角对数（log MAR）单位进行分析。共纳入了11例患有显著角膜散光（1.58±0.52屈光度[D]）且无晶状体囊支持的11只眼。术后1个月随访时，结果显示视力显著改善，未矫正远视力（UDVA）为0.47±0.26 log MAR，最佳矫正视力（BCVA）为0.29±1.23 log MAR。屈光结果显示出优异的散光矫正效果，将平均双眼残余散光降至0.30±0.28
手动与飞秒激光辅助放松切口
Manual versus femtosecond laser-assisted relaxing incisions for correction of low astigmatism in implantable collamer lens surgery. 手动与飞秒激光辅助放松切口在植入性胶原透镜手术中矫正低散光。
Indian journal of ophthalmology 印度眼科杂志
2025
Ling Zhou, Qizhi Zhou, Andrea Llovet-Rausell 凌周，齐周，安德烈亚·洛韦特-劳塞尔
DOI: 10.4103/IJO.IJO_2012_24 PMID: 40586187
腱鞘炎和扳机指治疗 (Tenosynovitis and Trigger Finger Treatment)
引言 (Introduction)
therapy. These approaches effectively alleviate symptoms in many patients, although severe cases may require surgery. Studies demonstrate a modest success rate for steroid injections, particularly in non-diabetic individuals, emphasizing the importance of individualized treatment plans that prioritize conservative management before considering surgical options.
治疗腱鞘炎（包括弹响指）的非手术方法主要包括皮质类固醇注射、固定和物理治疗。这些方法能有效缓解许多患者的症状，尽管严重病例可能需要手术。研究表明，皮质类固醇注射的成功率适中，尤其是在非糖尿病患者中，这强调了在考虑手术选择之前，优先采用保守管理方法制定个性化治疗计划的重要性。
Tenosynovitis, particularly in the form of trigger finger, is a prevalent condition that affects the functionality of the hand due to inflammation of the flexor tendon sheath. This condition is characterized by a painful locking, clicking, or catching sensation during finger movement, significantly
腱鞘炎，特别是扳机指形式的腱鞘炎，是一种常见疾病，由于屈肌腱鞘的炎症而影响手的功能。这种情况的特点是手指运动时出现疼痛性锁定、咔哒声或卡住感，严重
上肢常见腱病
Lateral epicondylitis, de Quervain tenosynovitis, and trigger finger are among the most common tendinopathies of the upper extremity. Lateral epicondylitis is a common condition that can be very frustrating to patients. Many patients will improve without any acute interventions. Physical therapy has been shown to be helpful as initial treatment, and surgery can be helpful for persistent symptoms. de Quervain tenosynovitis similarly responds well to nonsurgical modalities, including brace treatment and injections, and surgery can be effective for recalcitrant cases. Finally, trigger finger is a common condition that can result from thickening and scarring of the A1 pulley, which can be bothersome to patients. Typical treatment in this area involves corticosteroid injections or surgery as definitive management.
肱骨外上髁炎、de Quervain腱鞘炎和扳机指是上肢最常见的腱病之一。肱骨外上髁炎是一种常见病症，对患者来说可能非常令人沮丧。许多患者无需任何急性干预即可改善。物理治疗已被证明是初始治疗的有效方法，而手术则有助于缓解持续症状。de Quervain腱鞘炎同样对非手术疗法反应良好，包括支具治疗和注射，而手术对顽固性病例有效。最后，扳机指是一种常见病症，可能由A1 pulley增厚和瘢痕形成引起，这可能会给患者带来困扰。该领域的典型治疗包括皮质类固醇注射或手术作为最终管理。
腕关节和手部周围腱鞘炎
Tendinitis Around the Wrist and Hand. 腕关节和手部周围腱鞘炎。
Instructional course lectures 教学课程讲座
2025
Niyathi Prasad, Dawn M LaPorte 尼亚蒂·普拉萨德，道恩·M·拉波特
Tendinopathies around the hand and wrist are common. Most are diagnosed easily with a thorough history and clinical examination. Common conditions involving the hand and wrist include trigger finger, de Quervain tenosynovitis, intersection syndrome, third and fourth extensor compartment tenosynovitis, extensor carpi ulnaris tendinitis, and flexor carpi radialis tendinitis. Management strategies include nonsurgical treatments comprising immobilization, corticosteroid injections, or hand therapy, and surgical techniques including tendon release. 手部和手腕周围的腱病很常见。大多数可以通过详细的病史和临床检查轻松诊断。涉及手部和手腕的常见病症包括扳机指、de Quervain腱鞘炎、交叉综合征、第三和第四伸肌间隔腱鞘炎、尺侧腕伸肌腱炎和桡侧腕屈肌腱炎。管理策略包括非手术治疗，包括固定、皮质类固醇注射或手部治疗，以及手术技术，包括腱释放。
从扳机指的诊断到康复
From diagnosis to rehabilitation of trigger finger: a narrative review. 从扳机指的诊断到康复：一篇叙述性综述。
BMC musculoskeletal disorders BMC肌肉骨骼疾病
2024
Danilo Donati, Vincenzo Ricci, Paolo Boccolari, Flavio Origlio, Fabio Vita, Ondřej Naňka, Fabio Catani, Luigi Tarallo 丹尼洛·多纳蒂，文森佐·里奇，保罗·博科拉里，弗拉维奥·奥里吉奥，法比奥·维塔，昂德雷·纳尔卡，法比奥·卡塔尼，路易吉·塔拉洛
Trigger finger (TF), also known as stenosing flexor tenosynovitis, is a common pathology of the fingers causing functional deficit of the hand. In recent years, new therapeutic approaches such as extracorporeal shock wave therapy (ESWT) and ultrasound-guided (USG) procedures have joined the most traditional conservative treatments as the adaptation of daily activities involving the affected hand and the orthosis. 弹响指（TF），也称为狭窄性腱鞘炎，是手指的一种常见病理，导致手部功能障碍。近年来，体外冲击波疗法（ESWT）和超声引导（USG）等新疗法加入了最传统的保守治疗，包括涉及受影响手的日常活动适应和矫形器。
YouTube上的扳机指信息质量
由于YouTube缺乏对高质量医疗信息的监管和激励措施，客观评估有关屈指症（手外科医生转诊的常见病症）信息质量非常重要。通过YouTube（2021年 11月21日）查询有关屈指松解手术的视频。如果视频内容与主题无关或非英文，则予以排除。观看次数最多的59个视频按来源分为医师和非医师两类。两名独立审阅者量化评估每个视频的可靠性、质量和内容，使用Kohen's Kappa检验评估审阅者间的一致性。可靠性采用美国医学会杂志（JAMA）评分评估，质量采用DISCERN评分评估，高质量视频定义为得分在样本上25百分位数的视频，内容采用信息内容评分（ICS）评估，得分在样本上25百分位数表示信息更完整。使用双样本t检验和逻辑回归分析评估不同来源之间的差异。医师制作的视频在DISCERN质量评分（42.6±7.9，36.4±10.3；P=0.02）和信息内容（5.8±2.6，4.0±1.7；=0.01）得分高于非医师来源的视频。医师制作的视频与高质量的可能性增加相关（优势比[OR]5.7，95%置信区间[95%CI]1.3-41.3），并提供了更完整的患者信息（OR6.3，95%CI1.4-48.9）。所有视频的最低DISCERN子分数是讨论与手术相关的不确定性和风险。所有视频的最低ICS是在扳机指的诊断（11.9%）和非手术预后（15.3%）方面。医师视频有更完整和更高质量的关于扳机指松解的信息。此外，治疗风险、不确定性领域、诊断过程、非手术预后和所用参考文献的透明度被确定为缺乏内容。III级（治疗性）。
常见慢性手部疾病
Common chronic hand pathologies seen by family physicians include carpal tunnel syndrome, trigger finger, and de Quervain tenosynovitis. Carpal tunnel syndrome is the most common compressive neuropathy of the upper extremity and is caused by compression of the median nerve at the wrist. Trigger finger, also known as stenosing tenosynovitis, is caused by a metaplasia of the A1 flexor tendon pulley and the flexor tendon causing increased friction and decreased space for tendon gliding in the flexor tendon sheath. de Quervain tenosynovitis has a similar metaplasia of the tissues of the first dorsal extensor compartment over the radial styloid.
家庭医生常见的慢性手部疾病包括腕管综合征、扳机指和de Quervain腱鞘炎。腕管综合征是上肢最常见的压迫性神经病变，由腕部正中神经受压引起。扳机指，也称为狭窄性腱鞘炎，是由A1屈肌腱pulley的代谢异常和屈肌腱引起的，导致屈肌腱鞘内摩擦增加和腱滑移空间减少。de Quervain腱鞘炎在桡骨茎突处的第一背侧伸肌间隔的组织中也有类似的代谢异常。对于这些疾病，非手术治疗包括活动调整、固定和皮质类固醇注射。从这些非手术治疗选项中缺乏获益是手术转诊的指征。
手部和手腕的腱病
Tendinopathies involving the hand and wrist are common. Many are diagnosed easily, and in many cases, the management is straightforward, provided the pathology and principles are understood. Common conditions involving the tendons of the hand and wrist include trigger finger, tenosynovitis of the first through sixth dorsal extensor compartments, and flexor carpi radialis tendonitis.
手部和手腕的腱病很常见。许多病例可以轻易诊断，且在多数情况下，只要了解病理和原则，管理方式就很简单。涉及手部和手腕肌腱的常见病症包括弹响指、第一至第六背侧伸肌间隔的腱鞘炎以及桡侧屈腕肌腱炎。管理策略包括非手术治疗，如固定、注射或治疗，以及手术技术，如肌腱松解。