儿童斜视手术1164例分析  

STRABISMUS SURGERY IN CHILDREN:AN ANALYSIS OF 1 164 CASES

作　　者：尹晓琳[1] 孔庆兰[1] 金磊[2] 倪丽丽[1] 寇昕[1] 

机构地区：[1]青岛大学医学院附属医院眼科,山东青岛266003 [2]山东省警官总医院

出　　处：《齐鲁医学杂志》2012年第2期165-166,168,共3页Medical Journal of Qilu

摘　　要：目的了解近年来儿童斜视的类型及手术年龄的分布,以指导斜视的手术治疗。方法对我院2004年1月—2010年12月住院行全麻下斜视矫正术病儿(≤13岁)的病历资料作回顾性研究,分析斜视的类型、手术年龄的构成比。结果共同性内斜视病儿占20.7%,共同性外斜视病儿占50.6%,麻痹性斜视病儿占26.4%,特殊类型斜视病儿占2.3%。共同性内斜视病儿的手术年龄以1～6岁最多,占61.8%;共同性外斜视病儿的手术年龄明显偏大,7岁及以上者占58.1%。结论儿童斜视手术病例中外斜视比例高于内斜视,外斜视手术病儿中以7岁及以上者较多,内斜视手术病儿中以6岁及以下者较多。Objective To investigate the patterns of surgery for strabismus in children for the past few years,and their age distribution. Methods A retrospective study was done in 1 164 children（≤13 years old） with strabismus who underwent a squint correction,under general anesthesia,in our hospital form January 2004 to December 2010.The types of strabismus and the constituent ratio of the age at surgery were analyzed. Results Of the 1 164 children reviewed,the ratio of concomitant esotropia,concomitant exotropia,paralytic strabismus,and specific type accounted for 20.7%,50.6%,26.4% and 2.3%,respectively.The age distribution at surgery for concomitant esotropia was mostly in 1-6-year-old children（61.8%）,for those for concomitant exotropia,the age at the time of surgery was obviously older,being seven years old and over,which accounted for 58.1%. Conclusion In this analysis,the ratio of exotropia was higher than esotropia in children underwent surgery for strabismus.More children were seven years old or older at the time of surgery for correction of exotropia,and those for esotropia correction were mostly seen at six years old or younger.

关 键 词：斜视 眼外科手术 儿童 年龄分布 

分 类 号：R777.4[医药卫生—眼科]