下斜肌切断术与下斜肌转位术治疗V征斜视的效果比较  

Effect comparison of disinsertion and anterior transposition of the inferior oblique muscle in the treatment of V-pattern strabismus

作　　者：邓冬英 郭年波 栾丽娟 

机构地区：[1]江西省赣州启明星眼科医院眼科,江西赣州341000

出　　处：《中国当代医药》2015年第29期92-94,共3页China Modern Medicine

摘　　要：目的：对比下斜肌切断术与下斜肌转位术在斜视V征临床治疗中的作用。方法选取本院自2012年10月～2014年10月期间所收治的斜视V征患者162例，按照数字表法将其随机分为A组和B组，每组各81例。 A组患者采用下斜肌切断术治疗，B组患者采用下斜肌转位术治疗，水平斜视均采用手术内外直肌后退和（或）缩短治疗，对比分析两组患者下斜肌功能的恢复情况及术后不良反应的发生情况。结果 A组患者临床治疗总有效率为88.9%，B组患者临床治疗总有效率为91.4%，两组比较差异无统计学意义（χ2=2.634，P〉0.05）。A组患者下斜肌功能恢复优良率为86.4%，B组患者下斜肌功能恢复优良率为88.9%，两组比较差异无统计学意义（χ2=2.831，P〉0.05）。 B组患者不良反应发生率（6.2%）明显低于A组（22.2%），差异有统计学意义（P〈0.05）。结论下斜肌切断术与下斜肌转位术都能够很好的治疗斜视V征的效果，恢复患者下斜肌功能，但相比而言，下斜肌转位术术后不良反应少，值得临床推广。Objective To compare the clinical therapeutic effect of disinsertion and anterior transposition （AT） of the inferior oblique muscle on treating V-pattern strabismus. Methods From October 2012 to October 2014,162 patients with V-pattern strabismus admitted into our hospital were selected as research objects.According to random number table,they were evenly divided into group A and group B.In the group A,disinsertion of the inferior oblique muscle was applied,while in the group B,AT of the inferior oblique muscle was adopted.Horizontal strabismus was both treated by surgical internal and lateral rectus retraction and/or shortening.Functional recovery of inferior oblique muscle and oc-currence of postoperative adverse reactions in the two groups were compared and analyzed. Results In the group A,the total clinical effective rate was 88.9%,while in the group B,the rate was 91.4%.The difference of clinical therapeutic effect was not obvious with no statistical significance （χ2=2.634,P〉0.05）.In the group A,excellent and good rate of func-tional recovery of the inferior oblique muscle was 86.4%,while the rate in the group B was 88.9%.After comparison, there was no statistical difference （χ2=2.831,P〉0.05）.The incidence of adverse reactions in the group B was 6.2%,lower than that in the group A accounting for 22.2%,which displayed a statistical difference （P〈0.05）. Conclusion Both disinsertion and AT of the inferior oblique muscle can treat V-pattern strabismus and get recovery of function of the inferior oblique muscle.After comparison,AT of the inferior oblique muscle has less adverse reactions after surgery, which is more worthy of expansive application in clinic.

关 键 词：下斜肌切断术 下斜肌转位术 斜视V征 效果比较 

分 类 号：R779.6[医药卫生—眼科]