单侧内直肌截除术治疗儿童残余性和复发性外斜视的疗效  

Efficacy of unilateral medial rectus resection in the treatment of residual and recurrent exotropia in children

作　　者：钟瑞佳[1] 高扬 ZHONG Rui-jia;GAO Yang(Optometry Department,Shenyang Aier Eye Hospital(Co.Ltd.),Shenyang 110041,China)

机构地区：[1]沈阳爱尔眼科医院(有限公司)视光科,110041

出　　处：《中国现代药物应用》2021年第17期97-99,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究单侧内直肌截除术治疗儿童残余性和复发性外斜视的疗效。方法74例(74眼)残余性和复发性外斜视患儿,均行单侧内直肌截除术进行治疗,其中,曾行单侧外直肌后徙术治疗的患儿选择术眼,行单侧外直肌后徙术联合内直肌截除术的患儿选择对侧眼。术后随访6个月,观察患儿的术后疗效(包括正位率、欠矫率、过矫率),手术前后的融合功能以及立体视锐度。结果①术后1 d,手术正位率为91.89%(68/74),欠矫率为1.35%(1/74),过矫率为6.76%(5/74);术后3个月,手术正位率为89.19%(66/74),欠矫率为6.76%(5/74),过矫率为4.05%(3/74);术后6个月,手术正位率为87.84%(65/74),欠矫率为12.16%(9/74),过矫率为0(0/74)。②72例患儿能够配合融合功能检查,术前,中心融合患儿占比为34.72%(25/72),仅有周边融合患儿占比为54.17%(39/72),无融合患儿占比为11.11%(8/72);术后,中心融合患儿占比为62.50%(45/72),仅有周边融合患儿占比为23.61%(17/72),无融合患儿占比为13.89%(10/72)。68例患儿完成术前及术后立体视锐度测定,立体视锐度有显著提升患儿占比为51.47%(35/68),不变患儿占比为32.35%(22/68),有所下降患儿占比为16.18%(11/68)。结论单侧内直肌截除术治疗儿童残余性和复发性外斜视疗效显著,能够有效提升患儿疗效,提升患儿术后融合功能以及立体视锐度,应用效果较好,值得临床推广应用。Objective To investigate the efficacy of unilateral medial rectus resection in the treatment of residual and recurrent exotropia in children.Methods There were 74 children(74 involved eyes)with residual and recurrent exotropia,and all were treated with unilateral medial rectus resection.Among them,the operation eye was selected for the children who had undergone unilateral lateral rectus recession,and the contralateral eye was selected for the children who underwent unilateral lateral rectus recession combined with internal rectus resection.The patients were followed up for 6 months to observe the postoperative efficacy(including correction rate,undercorrection rate and overcorrection rate),fusion function before and after operation and stereopsis acuity.Results①1 d after operation,the correction rate was 91.89%(68/74),the undercorrection rate was 1.35%(1/74),and the overcorrection rate was 6.76%(5/74);3 months after operation,the correction rate was 89.19%(66/74),the undercorrection rate was 6.76%(5/74),and the overcorrection rate was 4.05%(3/74);6 months after operation,the correction rate was 87.84%(65/74),the undercorrection rate was 12.16%(9/74)and the overcorrection rate was 0(0/74).②72 children were able to cooperate with the fusion function examination.Before operation,the proportion of children with central fusion was 34.72%(25/72),the proportion of children with peripheral fusion was 54.17%(39/72),and the proportion of children without fusion was 11.11%(8/72);after operation,the proportion of children with central fusion was 62.50%(45/72),the proportion of children with peripheral fusion was 23.61%(17/72),and the proportion of children without fusion was 13.89%(10/72).68 children completed the measurement of stereopsis acuity before and after operation.The proportion of children with stereoscopic acuity significantly improved was 51.47%(35/68),the proportion of children who remained unchanged was 32.35%(22/68),and the proportion of children who declined was 16.18%(11/68).Conclusion Unilateral medial

关 键 词：单侧内直肌截除术 残余性 复发性外斜视 

分 类 号：R779.6[医药卫生—眼科]