婴幼儿斜视矫正手术109例分析  

Clinical analysis of 109 cases infantile strabismus surgeries

作　　者：冯柯红[1] 范莲[1] 

机构地区：[1]苏州大学附属儿童医院眼科,苏州215003

出　　处：《中国实用眼科杂志》2012年第11期1357-1359,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的分析1～3岁幼儿斜视矫正手术的斜视类型、手术设计、手术的近期及远期的疗效。方法回顾分析109例1～3岁幼儿斜视矫正手术。结果109例中女50例，男59例，其中内斜视40例（36．7％），外斜视29例（26．6％），上斜肌麻痹30例（27．5％），A—V综合症10例（9．1％）。发病年龄出生至2岁，术后随访6月至4年，观察术后眼位，术后和远期正位率分别为内斜视90％、82．5％，外斜视86．2％、72．4％，上斜肌麻痹96．6％、83．3％，A—V综合征80％、70％。结论1—3岁幼儿的斜视以内斜视居多，其次为上斜肌麻痹，早期手术只要术前设计合理，术后可以取得很好的效果。Objective To analyze the types of infantile strabismus, operation design, short-term and long-term curative effect of operation from 1 to 3 years old. Methods Retrospective analyzed 109 cases of infantile strabismus surgery from 1 to 3 years old. Results In 109 cases there were 50 female and 59 male, of which 40 cases of esotropia （36.7%）, 29 exotropia （26.6%）, 30 superior oblique muscle palsy （27.5%）, 9 A-V syndrome （9.1%）. Age of onset was from the birth to 2 years old. Postoperative follow-up was from 6 months to 4 years. Postoperative orthophoria, the postoperative and long-term orthophoria rates were observed that 90%, 82.5% of esotropia; 86.2%, 72.4% of exotropia; 96.6%, 83.3% of superior oblique muscle palsy; 80%, 70% of A-V syndrome respectively. Conclusions Esotropia is the majority of infantile strabismus, followed by the superior oblique muscle palsy. As long as early surgical preoperative design is reasonable, we can achieve very good results after operation.

关 键 词：婴幼儿 斜视 手术 

分 类 号：R777.41[医药卫生—眼科]