儿童斜视手术的临床分析  

Clinical Analysis of Children's Strabismus Operation

作　　者：何颜清 吴爱红[1] 

机构地区：[1]安阳市眼科医院,河南安阳455000

出　　处：《河南职工医学院学报》2005年第5期279-281,共3页Journal of Henan Medical College For Staff and Workers

摘　　要：目的对儿童斜视进行分析,提出儿童斜视早期手术的必要性及手术时机的选择。方法对248例儿童斜视的手术年龄,适应证,手术方法及手术量的估计进行分析。对调节性内斜视根据AC/A(调节性集合和调节的比率)比值、融合力的大小及戴全矫远视镜后出现的内斜度数来确定手术方法;间歇性外斜视和恒定性外斜视,根据外斜视的三种类型选择手术方法。并对其效果做出评定。结果在随访观察中,Ⅰ级治愈171例,占68.95%,其中内斜视63例(包括部分调节性内斜视),外斜视53例,A-V征18例,麻痹性29例,上斜视8例。Ⅱ级良好53例,占21.37%。Ⅲ级差24例,占9.68%。总有效率90.32%。结论儿童斜视应当尽早手术矫正,这不仅有助于儿童立体视觉的恢复,而且还可防止弱视的发生。建立和维护正常立体视功能是儿童斜视早期手术的根本目的。Objective To analyse children＇s strabismus, and put forward the necessity for early operation as well as the importance of the operation time. Methods The age, indication, methods, quantity＇ s estimate of 248 children＇s operation were analysed. As for accommodative esotropia, the operation method was decided by AC/A, fusion faculty, and the angle of esotropia when wearing full - correction spectacles for hypermetropia; the method for intermittent extropia and constant extropia was decided by the type of extropia. The results were also assessed. Results The results were as the following：Grade Ⅰ ,171 cases（68.95%）were recovered,including 63 of esotropia （some of them were partially accommodative estropia） ;53extropia, 18A - V syndrome, 29 paralytic strabismus, 8 hypertropia. Grade Ⅱ , 53 cases （21.73 % ） were improved. Grade Ⅲ, poor, 24cases （ 9. 68 % ）. The total effective rate was 90.32 %. Conclusion The operation for the correction of children＇ s strabismus should be as early as possible. This can not only be helpful to restore children＇s stereoscopic vision, but also be helpful to prevent amblyopia. The fundamental purpose of early operation for children＇ s strabismus is the basic aim of protecting normal function of stereoscopic vision.

关 键 词：斜视 儿童 手术 

分 类 号：R734.2[医药卫生—肿瘤]