无中间带先天性眼球震颤水平直肌缝线钳夹术的设计和应用  

Application of horizontal rectus muscle suture clamp for the treatment of congenital nystagmus without intermediate band

作　　者：刘永华[1] 陈杰 高建鲁[1] 吴其正[1] 蔡新萌[1] Liu Yoaghua;Chen Jie;Gao Jianlu;Wu Qizheng;Cai Xinrneng(Department of Ophthalmology,Liaocheng People＇s Hospital,Shandong 252000,China)

机构地区：[1]聊城市人民医院眼科,山东252000

出　　处：《中华眼外伤职业眼病杂志》2018年第10期766-769,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：山东省重点研发计划项目（2015GSF118076）

摘　　要：目的评价作者所设计应用的水平直肌缝线钳夹术对无中间带先天性眼球震颤（congenital nystagmus，CN）的治疗效果。方法回顾性分析2016年1月至2017年6月作者设计的水平直肌缝线钳夹术治疗的无中间带CN11例的临床资料，分析术前、术后1个月和3个月的视力、眼球震颤的幅度和频率变化。结果右眼术前及术后1个月和3个月最佳矫正视力（LogMAR）分别为0．65±0．25、0．42±0．26和0．38±0．23，左眼术前及术后1个月、3个月最佳矫正视力分别为0．62±0．26、0．38±0．17和0．35±0．14，双眼术后1个月及3个月视力较术前均提高，差异均有统计学意义（P〈0．05）。术后3个月眼震幅度明显降低，频率明显减慢，差异有统计学意义（P〈0．05）。结论水平直肌缝线钳夹术可有效减轻无中间带CN的眼震幅度及频率，改善视功能，是治疗无中间带CN患者的有效手术方式。Objective To evaluate the efficacy of application of horizontal rectus muscle suture clamp for the treatment of congenital nystagmus （CN） without intermediate band. Methods The data of 11 patients with no intermediate band CN from Jan. 2016 to Jun. 2017 were retrospectively analyzed. All eases received the self designed surgery of horizontal rectus muscle suture clamp. The visual acuity （LogMAR） , the amplitude and frequency of nystagmus before and after operation were summarized. Results The best corrected visual acuity of right eye before and 1, 3 months after operation were 0.65 ± 0.25, 0.42 ± 0.26 and0.38±0.23, respectively. Those of left eye were 0.62±0.26, 0.38 ±0. 17 and 0.35 ±0. 14, respectively. The postoperative best corrected visual acuity at 1 and 3 months of binocular were improved （ P 〈 0.05 ）. The amplitude and frequency of nystagmus at 3 months after operation were decreased. The difference was statistically significant between before and after operation （ P 〈 0. 05）. Conclusion Horizontal rectus muscle suture clamp for the treatment of CN without intermediate band can effectively decrease amplitude and frequency of nystagmus, and significantly improve visual function.

关 键 词：眼球震颤 先天性 无中间带 缝线钳夹术 

分 类 号：R779.6[医药卫生—眼科]