后巩膜加固联合斜视矫正术治疗近视合并斜视的临床研究  

Clinical study of posterior scleral reinforcement combined with strabismus surgery in the treatment of myopia combined with strabismus

作　　者：张加宾[1] 高鹏[1] 王翠菊[2] 孟昭明[1] 栾志勤 吴俊伟 

机构地区：[1]莱芜市人民医院眼科,山东莱芜271100 [2]莱芜市人民医院病案管理科,山东莱芜271100 [3]莱钢集团总医院眼科,山东莱芜271100 [4]莱芜市莱城区医院眼科,山东莱芜271100

出　　处：《现代医学》2017年第3期377-380,共4页Modern Medical Journal

摘　　要：目的:探讨后巩膜加固联合斜视矫正术治疗近视合并斜视的临床效果。方法:择取2014年11月至2015年11月在莱芜市人民医院进行诊治的114例近视合并斜视患者,均进行后巩膜加固术联合斜视矫正术治疗,先表麻结合结膜下浸润麻醉处理进行斜视矫正术,然后球后麻醉处理进行后巩膜加固术治疗。结果:经后巩膜加固术联合斜视矫正术治疗后,患者斜视角、双眼视明显优于术前,差异有统计学意义(P<0.05)。术后,患者的视力(0.10±0.08)、屈光度(10.25±2.70)D、眼轴长(26.95±1.40)mm,明显优于术前的(0.25±0.05)、(9.05±1.85)D、(25.85±0.65)mm,差异有统计学意义(P<0.05)。结论:后巩膜加固术联合斜视矫正术治疗近视合并斜视的疗效理想,操作简便,手术解剖层次更加清晰,一次性手术的成功率较高,具有重要的临床参考价值。Objective： To study the clinical effect of posterior scleral reinforcement combined with strabismus surgery in the treatment of myopia and strabismus. Methods： 114 cases of myopia and strabismus patients treated in Laiwu People＇s Hospital from 2014.11 to 2015.11 were performed posterior scleral reinforcement combined with strabismus surgery. Firstly, surface anesthesia combined with subconjunctival anesthesia for strabismus surgery was done, then retrobulbar anesthesia treatment after scleral reinforcement surgery was done. Results： After posterior scleral reinforcement surgery combined with strabismus surgery, the patients＇s oblique angle of view, binocular vision were significantly better than preoperative, the difference was statistically significant （ P 〈 0. 05 ）. Postoperative visual acuity （0.10 ± 0.08 ）, diopter [ （ 10.25 ± 2.70 ） D 1, axial length （ 26.95 v1.40 ） mm were significantly better than preoperative E（0. 25 ±0.05）, （9.05 ± 1. 85）D, （25. 85 ±0. 65） mm], the difference was statistically significant （ P 〈 0. 05 ）. Conclusion： Posterior scleral reinforcement combined with strabismus surgery for treatment of myopia and strabismus surgery has the advantages of simple operation, disposable surgical anatomical level more clear, high success rate, it has important clinical value.

关 键 词：后巩膜加固术 斜视矫正术 近视 斜视 

分 类 号：R779.6[医药卫生—眼科]