斜视矫正手术对双眼视觉功能影响的临床研究  

Clinical study on the Effect of Strabismus Surgery on the Binocular Visual Function

作　　者：张晖[1] 唐宁[2] 李燕利[1] 李彩云[1] 陈宁宁[1] 

机构地区：[1]石河子大学医学院,新疆石河子832000 [2]石河子大学医学院第一附属医院眼科,新疆石河子832000

出　　处：《现代生物医学进展》2014年第5期895-898,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨斜视矫正手术对双眼视觉功能的影响。方法:将收集的85例斜视患者根据斜视类型分组,共同性外斜视组51例,占60.00%;共同性内斜视组16例,占18.82%。麻痹性斜视组13例,占15.30%,特殊类型斜视组5例,占5.88%。同视机检查并记录患者术前及术后双眼视功能情况。结果:外斜视手术方式多选用单眼外直肌后徙+内直肌缩短术,内斜视手术主要选用双眼内直肌后徙术,上斜肌麻痹多行患眼下斜肌适量后徙或转位术,麻痹性内斜和外斜手术方式为患眼水平肌后徙联合缩短术,外斜V征手术方式为双眼外直肌后徙联合上移半个肌腱,伴有斜肌亢进者需同时行斜肌减弱术,固定性内斜1例手术方式为患眼内直肌断键+直肌联结术。85例患者术后正位73例(85.89%),双眼视觉功能手术前后比较有显著性差异(P<0.05),术后较术前可见明显改善。结论:斜视矫正手术可促进双眼视觉功能的恢复,尤其是对于学龄前儿童效果更明显。Objective： To explore the effect of Strabismus surgery on the binocular visual function. Methods： 85 cases of strabismus patients were selected, according to the strabismus type group, there were divided into the concomitant exotropia group of 51 cases, accounting for 60.00%, Concomitant esotropia group of 16 cases, accounting for 18.82%, Paralytic strabismus group of 13 cases, accounting for 15.30%, special type strabismus group 5 cases, accounting for 5.88%. Synoptophore examination was used to detect the preoperative and postoperative binocular visual function. Results： Exotropia surgery way much choose monocular lateral rectus 3 ＋ after medial rectus shortening operation. Esotropia operation main choose eyes medial rectus muscle cell after operation. Superior oblique palsy do more with the oblique muscle after apply 3 or inversion technique. Paralytic internal bevel and external oblique surgery way eye level material after muscle cell joint shorten operation. External oblique V sign operation method for eyes lateral rectus 3 after joint up half a tendon, accompanied by oblique muscle hyperthyroid shall also line oblique muscle abate technique. Conserve internal bevel l cases of surgical methods material intraocular rectus offkey ＋ rectus coupling technique. Of the 85 patients, 73 cases got right position of eyes （85.89%）, the postoperative binocular vision function was significantly improved than that preoperation （P〈0.05）. Conclusions： Strabismus corrective surgery for binocular vision function recovery have promote role, especially for preschool children effect more apparent.

关 键 词：斜视 手术治疗 双眼视觉功能 

分 类 号：R777.41[医药卫生—眼科]