S-LR术与LR术治疗集合不足型外斜视的美容效果比较  

Comparison on the Cosmetic Effect of S-LR and LR in the Treatment of Convergence Insufficiency Exotropia

作　　者：王晓雪 陈召利 尚硕 王良雨 WANG Xiao-xue;CHEN Zhao-li;SHANG Shuo;WANG Liang-yu(Department of Refractive Surgery,Qingdao Aier Eye Hospital,Qingdao 266000,Shandong,China;Department of Ophthalmology,Qingdao Municipal Hospital,Qingdao 266000,Shandong,China)

机构地区：[1]青岛爱尔眼科医院屈光手术科,山东青岛266000 [2]青岛市市立医院眼科,山东青岛266000

出　　处：《中国美容医学》2021年第10期69-72,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究外直肌倾斜后徙术(Slanted lateral rectus recession,S-LR)与外直肌后徙术(lateral rectus recession,LR)治疗集合不足型外斜视的美容效果。方法:选择2018年1月-2019年12月笔者医院收治的52例集合不足型外斜视患者,根据手术方法的不同分为S-LR组(n=24)和LR组(n=28)。比较术后1年两组患者正位率,术前、术后1年视远、视近斜视度、双眼视功能及近立体视功能。结果:S-LR组的正位率是87.50%,高于对照组的60.71%,差异有统计学意义(P<0.05)。术后1年,两组视近斜视度、视远斜视度、远近斜视度差值均明显减小,S-LR组均低于LR组,差异有统计学意义(P<0.05)。术后1年,两组双眼视功能均优于术前,差异有统计学意义(P<0.05),但组间比较差异无统计学意义(P>0.05)。术后1年,两组近方立体视功能正常及异常例数与术前比较,差异无统计学意义(P>0.05);且两组间比较,差异无统计学意义(P>0.05)。结论:S-LR在提高集合不足型外斜视患者术后双眼正位率及改善患者斜视度方面优于LR,两种术式均能有效改善患者的双眼视功能。Objective To explore the cosmetic effect of slanted lateral rectus recession(S-LR)and lateral rectus recession(LR)in the treatment of convergence insufficiency exotropia.Methods A total of 52 patients with convergence insufficiency exotropia admitted to the hospital were enrolled between January 2018 and December 2019.According to different surgical methods,they were divided into the S-LR group(n=24)and the LR group(n=28).The orthophoria rate at 1 year after surgery,far and near exotropia,binocular visual function and stereopsis function before and at one year after surgery were compared between the two groups.Results The orthophoria rate in the S-LR group was higher than that in the LR group(87.50%vs 60.71%),the difference was statistically significant(P<0.05).At one year after surgery,far exotropia,near exotropia and their difference value in both groups were significantly decreased,which were lower in the S-LR group than the LR group(P<0.05).At one year after surgery,binocular visual function was better than that before surgery in both groups(P<0.05).But there was no significant difference between the two groups(P>0.05).The difference in the number of cases with normal and abnormal stereopsis function before and at one year after surgery was not statistically significant in the two groups(P>0.05),and there was no significant difference between the two groups(P>0.05).Conclusion S-LR is better than LR in terms of improving binocular orthophoria rate and exotropia in patients with convergence insufficiency exotropia.Both surgical methods can effectively improve binocular visual function.

关 键 词：外直肌倾斜后徙术 外直肌后徙术 集合不足型外斜视 美容效果 双眼视功能 

分 类 号：R777.41[医药卫生—眼科]