共同性外斜视手术量对远期眼位回退的影响  

Clinical observation of the operative amount for concomitant exotropia on the postoperative regression

作　　者：孙常峰 陈静 兰志辉 高淑琴 董光美 张剑飞 

机构地区：[1]河北省张家口市眼科医院,075000

出　　处：《中国斜视与小儿眼科杂志》2013年第1期I0006-I0008,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨共同性外斜视的术后远期回退与术中手术量的关系。方法将我院近四年有较完整资料的546例共同性外斜视患者根据不同的手术量采取术终不同的过矫量，术后随访6个月-3年。结果546例共同性外斜视患者远期正位（≤±10△）493例，〉-10△38例，其中〉-15△17例，过矫（〉＋10△）15例，行二次手术5例，正位率达90．29％．结论共同性外斜视的术后回退与手术后徙及缩短的量有很大的关系，手术量越大术后回退量越小，手术量越小回退量越大。遵循此规律采取个性化过矫效果满意。Objective Study on the relationship between the postoperative regression and the operative quantity for concomitant exotropia. Methods 546 cases which had complete material in 4 years were treated with over correction according to different operative amount in my hospital,and following up for 6 months to 3 years after surgery. Resultes In 546 cases with concomitant exotropia, long-term orthophoria （≤ ＋ 10△） was 493 cases,38 cases was 〉-10a, 17 cases was 〉-15△, Over correction （〉 ＋10△） was 15 cases, The second operation was performed on 5 cases, the correction rate reached 90.29%. Conclusions The relationship between the postoperative regression and the operative quantity of recession and short the for concomitant exotropia counts for much,the operative quantity is more and the regression is small, the operative quantity is small and the regression is more. Following this rule individuation over correction was adopted, the result is satisfactory.

关 键 词：共同性外斜视 回退 手术量 个性化过矫 

分 类 号：R779.6[医药卫生—眼科]