儿童部分调节性内斜视手术时机的选择及疗效观察  

Operation time selection and effect observation of the surgery for children with partially accommodative esotropia

作　　者：程娟 李俊芳 

机构地区：[1]中国陕西省渭南市妇幼保健院眼科,714000

出　　处：《国际眼科杂志》2016年第4期791-792,共2页International Eye Science

摘　　要：目的：分析儿童部分调节性内斜视手术时机的选择和疗效观察,为临床治疗提供参考。方法：选取我院儿童部分调节性内斜视手术患者52例为研究对象,依照手术时机不同分为A组10例、B组25例和C组17例,A组患者发病1a内手术治疗,B组患者发病1~3a手术治疗,C组患者发病3a以上手术治疗,分析手术治疗效果。结果：〉6岁儿童术后获得立体感比例（83%）显著高于〈3岁儿童（30%）（P〈0.05）;患者术后立体视觉与患者手术时机存在明显相关性,A组（80%）和B组患者有立体感比例（76%）显著高于C组（41%）（P〈0.05）;A组（90%）、B组治疗优良率（88%）显著高于C组（71%）（P〈0.05）。结论：儿童部分调节性内斜视患者应待患儿6岁以后,尽早开展手术治疗,根据斜视度和裸眼视力情况决定手术量。AIM：To analyze the operation time selection and effect observation of the surgery for children with partially accommodative esotropia to provide the reference for treatments.METHODS：Fifty-two children with partially accommodative esotropia received surgeries in our hospital were selected,and they were divided into group A（10 cases）,group B（25 cases） and group C（17 cases）according to operation time.The patients in group A were taken surgical treatment when the disease was diagnosed within 1a,those in group B were taken treatments within1 ~3a,while those in group C were treated over 3a.The operation efficacy was compared.RESULTS：There were 88%6 years children developed stereo vision after surgeries,which was significantly higher than those 3 years（30%,P〈 0.05）.The chance for the patients to develop stereo vision was obviousely correlated with the operation time.The rates of patients who develop stereo vision after operations were 80% in group A and 76% in group B,both of which were significantly higher than that（41%） in group C（P 0.05）.The efficacy rates of group A and group B were 90%,88% respectively,both of which were significantly higher than that（71%） of group C（P〈 0.05）.CONCLUSION：Children with partially accommodative esotropia should receive surgical treatment as early as possible once they are 6 years old.The surgical amount should be decided by the esotropia deviation and the uncorrected visual acuity.

关 键 词：部分调节性内斜视 手术时机 立体感 

分 类 号：R779.6[医药卫生—眼科]