眼上直

发布时间：2018-06-03 04:19

本文选题：高度近视 + 固定性斜视　；参考：《四川大学学报(医学版)》2017年05期

【摘要】：目的评估上直肌、外直肌肌腹联合术治疗高度近视限制性内、下斜视的临床效果。方法回顾性分析16例27只高度近视限制性斜视眼患者的病例资料,所有患者患眼采用上直肌、外直肌肌腹联合术。随访时间3~12月,比较手术前、后患者的斜视度及眼球运动度。结果所有患者术前患眼均有不同程度的上转和外转受限,术前平均内斜视度为(92.50±18.17)△,平均下斜视度为(21.88±5.74)△,眼球外转受限程度为-3.19±0.62,眼球上转受限程度为-2.85±0.82;术后患者眼球外转(外转受限程度为-1.15±0.52)、上转(上转受限程度为-0.78±0.51)均有明显提高,与术前比较,差异有统计学意义(P0.01),内斜视度[平均为(9.19±4.39)△]及下斜视度[平均为(2.38±3.10)△]明显减小,与术前比较,差异有统计学意义(P0.01),除术前斜视度较大的个别患者外,总体效果较为满意(包括获得较为满意的外观)。结论上直肌、外直肌肌腹联合术能矫正高度近视引起的限制性内下斜视,获得较为满意的外观。
[Abstract]:Objective to evaluate the clinical effect of superior rectus muscle and external rectus muscle abdominal surgery in the treatment of high myopia. Methods the data of 27 cases of high myopia with restricted strabismus were analyzed retrospectively. All the patients were treated with superior rectus muscle and external rectus muscle combined with abdominal surgery. The follow-up time from 3 to 12 months was compared with the degree of strabismus and eyeball movement before and after operation. Results all the patients had different degrees of constriction of upturn and extroversion. The mean degree of esotropia was 92.50 卤18.17) and the mean degree of hypotropia was 21.88 卤5.74). The degree of exophthalmos limitation was -3.19 卤0.62, and the degree of constriction was -2.85 卤0.82.The degree of exophthalmos limitation was -1.15 卤0.52U, and the degree of up-turn was -0.78 卤0.51, which was significantly higher than that before operation. The differences were statistically significant (P 0.01), esotropia (9.19 卤4.39) and hypotropia (2.38 卤3.10), respectively. The overall effect is satisfactory (including obtaining satisfactory appearance). Conclusion Superior rectus and external rectus combined with abdominal surgery can correct restrictive hypotropia caused by high myopia and obtain satisfactory appearance.
【作者单位】：四川大学华西医院眼科;
【分类号】：R779.6

【相似文献】