直肌后徙可调缝线术在儿童共同性斜视中的应用  

The application of lateral rectus recession and adjustable suture surgery in the treatment of concomitant strabismic in children

作　　者：李彬[1] 张伟[1] 吕平 龚咏梅[1] 黄晨晨[1] 张大传[1] Li Bin Zhang Wei Lu Ping Gong Yongmei Huang Chenchen Zhang Dachuan(Depanraent of Ophthalmology, the Third People＇s Hospital of Hefei, Clinical College of Anhui Medical University, Anhui 230022,Chin)

机构地区：[1]合肥市第三人民医院眼科安徽医科大学临床学院,230022

出　　处：《临床眼科杂志》2016年第5期438-440,共3页Journal of Clinical Ophthalmology

摘　　要：目的：观察直肌后徙可调整缝线术治疗儿童共同性斜视的临床效果。方法对34例儿童共同性斜视在全麻下采用直肌后徙调整缝线术治疗，术后1～2 d内进行缝线调整，随访6～24个月，观察手术效果。结果34例儿童共同性斜视患者中，11例达正常眼位，23例因欠矫或过矫需要调整，其中过矫9例及欠矫11例均调至正位，有3例欠矫者经集合训练后得到改善。在6～24个月随访中，未调整的患者中欠矫1例，经过调整的患者中欠矫2例，术后视功能较术前有明显的改善。结论采用可调整缝线治疗儿童共同性斜视是简便而有效的手术方式，可以减少再次手术风险，使儿童全麻斜视矫正手术的成功率获得较大的提高。Objective To observe the clinical effects of lateral rectus recession and adjustable suture surgery in the treatment of concomitant strabismus in children.Methods The 34 children patients with concomitant strabismus were anesthetized by general anesthesia.The lateral rectus recession and adjustable suture surgery were used to treat the cases. Postoperative 1-2 days the eye position was adjusted through the adjustable suture.Then followed up for 6~24 months to observe the effect of surgery.Results In the 34 children with strabismus, 11 cases were in desired alignment and 23 cases needed to be adjusted because of undercorrection or overcorrection.Nine cases with overcorrection and 11 cases with under-correction were adjusted to the normotopia.There were 3 cases with undercorrection improved after the training of the set. In the follow-up 6~24 months, there is 1 case with undercorrection in unadjusted patients.There are 2 cases with under-correction after in adjusted patients.And compared with the preoperative, the postoperative visual function has significantly improved.Conclusion The lateral rectus recession and adjustable suture surgery in the treatment of children with concom-itant strabismus is a simple and effective surgery.It can decrease the risk of reoperation for children strabismus surgery in general anesthesia.And the success rate is greatly improved.

关 键 词：共同性斜视 直肌后徙 可调整缝线 全身麻醉 

分 类 号：R779.6[医药卫生—眼科]