不同方式直肌手术治疗间歇性外斜视术后眼位的观察  

AN EVALUATION OF POSTOPERATIVE ORTHOPHORIA OF DIFFERENT RECTUS OPERATIONS FOR INTERMITTENT EXOTROPIA

作　　者：满滕滕 杨先[1] 田巧霞 张杰[1] 李慧[1] 

机构地区：[1]青岛大学医学院附属医院眼科,山东青岛266003

出　　处：《青岛大学医学院学报》2014年第4期360-362,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的观察双眼外直肌后徙与单眼外直肌后徙联合内直肌缩短术治疗间歇性外斜视病人术后不同时期眼位,探讨其矫正效果。方法选择195例于我院手术的间歇性外斜视病人,依据不同的手术方式分为A、B两组,分别行双眼外直肌后徙术、单眼外直肌后徙联合内直肌缩短术。比较两组术后0.5、1.5、3.0年的眼位正位率。结果术后0.5年,A组眼位正位率低于B组,差异有显著性(χ2=8.83,P<0.05);术后1.5年,两组眼位正位率比较差异无显著性;术后3.0年,A组眼位正位率高于B组,差异有显著性(χ2=6.29,P<0.05)。结论术后短期内单眼外直肌后徙联合内直肌缩短术眼位矫正效果优于双眼外直肌后徙术,然而,后者术后长期眼位正位率高于前者。Objective To compare postoperative orthophoria in different period of bilateral lateral recession（BLR）versus unilateral lateral rectus recession-medial rectus resection（RR）in the treatment of intermittent exotropia（IE）. Methods According to different surgical procedure,195patients with IE underwent surgery in our hospital were divided into two groups as group A,bilateral lateral recession was performed;group B,underwent unilateral lateral rectus recession-medial rectus resection.The orthophoric rates of 0.5,1.5and 3.0years after surgery were compared between the two groups. Results Half a year after surgery,the rate of orthophoria in group A was lower than that in group B,the difference was significant（χ2=8.83,P〈0.05）;1.5years after surgery,the difference of orthophoria was not significant,and after 3.0years,the rate of orthophoria in A group was higher than that in B group（χ2=6.29,P〈0.05）. Conclusion Unilateral lateral rectus recession-medial rectus resection is better than bilateral lateral recession with regard to short-term efficacy in correction of position of eye,but,in terms of long-term normotopia rate,the latter is higher than the former.

关 键 词：外斜视 眼外科手术 治疗结果 

分 类 号：R779.6[医药卫生—眼科]