集合不足型间歇性外斜视的手术方式分析

发布时间：2017-12-26 19:27

本文关键词：集合不足型间歇性外斜视的手术方式分析　出处：《中国现代医学杂志》2015年15期 　论文类型：期刊论文

【摘要】：目的探讨集合不足型间歇性外斜视的手术治疗方式。方法回顾性分析2009年3月-2012年9月经手术治疗的256例集合不足型间歇性外斜视患者的临床资料,总结患者的斜视度数与手术方式的关系。结果斜视度≤25△的56例患者行单眼内直肌缩短术,远期有效率为85.71%;斜视度30~55△的138例患者行单眼外直肌后徙联合内直肌缩短术,远期有效率为90.58%;斜视度≥60△的62例患者行双眼外直肌后徙联合单眼内直肌缩短术,远期有效率为88.71%。所有患者术前和术后视近、视远斜视度及视近和视远斜视度差值比较均有统计学意义(P0.05),术后与术前双眼视功能比较也有统计学意义(P0.05)。结论集合不足型间歇性外斜视应根据斜视角度的大小选择内直肌缩短术,或同时联合外直肌后徙术。
[Abstract]:Objective to explore the surgical treatment of intermittent exotropia. Methods the clinical data of 256 patients with concomitant intermittent exotropia treated by surgery in March 2009 9, -2012 were retrospectively analyzed, and the relationship between strabismus degree and operation mode was summarized. The deviation is less than or equal to 25 Delta were performed in 56 patients with single lateral rectus resection, the long-term rate is 85.71%; strabism 30~55 delta 138 patients underwent unilateral lateral rectus recession combined with medial rectus resection, the long-term rate is 90.58%; the strabismus degree is larger than 60 Delta were performed in 62 patients with bilateral external rectus recession combined with single lateral rectus resection, the long-term rate is 88.71%. There was a statistically significant difference in the near to the eye, the far side strabismus, the near to the eye and the far side strabismus in all the patients (P0.05). There was also a statistically significant difference in binocular visual function before and after operation (P0.05). Conclusion the insufficiency of the intermittent exotropia should be chosen according to the angle of the strabismus, or simultaneously with the external rectus muscle.
【作者单位】：南昌大学第二附属医院儿童眼科;
【分类号】：R779.6
【正文快照】： 间歇性外斜视是外斜视中发病率较高的一种类型,因其双眼融合功能不稳定,患者斜视角经常发生变化,最终由于双眼单视功能的破坏而迅速发展为恒定性斜视,因此强调早期手术治疗。集合不足型是间歇性外斜视中手术设计难,手术量不易掌握,术后易发生过矫或欠矫的外斜视,其手术设计方

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