双眼外直肌后徙术联合视感知觉训练治疗小儿间歇性外斜视的临床效果  

Clinical effect of binocular external rectus recession combined with visual perception training in the treatment of intermittent exotropia in children

作　　者：苏旺铭 李燕玲 SU Wangming;LI Yanling(Department of Ophthalmology,Longyan Second Hospital,Fujian Province,Longyan364000,China)

机构地区：[1]福建省龙岩市第二医院眼科,福建龙岩364000

出　　处：《中国当代医药》2021年第36期132-135,共4页China Modern Medicine

摘　　要：目的探讨双眼外直肌后徙术联合视感知觉训练治疗小儿间歇性外斜视的临床效果。方法回顾性选取2019年4月至2020年6月龙岩市第二医院收治的60例间歇性外斜视患儿作为研究对象,按照治疗方式分为对照组(30例,30眼)与观察组(30例,30眼)。对照组采用双眼外直肌后徙治疗,观察组采用双眼外直肌后徙联合双眼视感知觉训练方法。比较两组的双眼视功能及随访1年的复发率。结果治疗前,两组患儿视功能各指标正常者占比比较,差异无统计学意义(P>0.05),治疗后两组视功能各指标正常占比高于治疗前,且观察组视功能正常者占比高于对照组,差异有统计学意义(P<0.05)。随访6个月、1年时,观察组复发率均低于对照组,差异有统计学意义(P<0.05)。结论可采用双眼外直肌后徙联合双眼视感知觉训练治疗小儿间歇性外斜视,进一步提升治疗疗效,对患儿双眼视功能改善效果理想,并可降低疾病复发率。Objective To analyze the clinical effect of binocular external straightening machine recession combined with binocular visual perception training in the treatment of intermittent exotropia in children.Methods A total of 60 children with intermittent exotropia admitted to Longyan Second Hospital from April 2019 to June 2020 were retrospectively selected as the research objects,and divided into control group(30 cases,30 eyes)and observation group(30 cases,30 eyes)according to treatment methods.The control group was treated with recession of external rectus muscle of both eyes,the observation group was treated with binocular external rectus recession combined with binocular visual perception training.Binocular visual function and recurrence rate of 1 year follow-up were compared between the two groups.Results Before treatment,there was no significant difference in the proportion of children with normal visual function indexes between the two groups(P>0.05).After treatment,the proportion of normal visual function indexes in the two groups was higher than before treatment,and the proportion of normal visual function in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The recurrence rate of the observation group was lower than that of the control group after 6 months and 1 year follow-up(P<0.05).Conclusion The binocular external straightening machine recession combined with binocular visual perception training can be used to treat intermittent exotropia in children,which can further improve the therapeutic effect,improve binocular visual function of children ideally,and reduce the rate of disease recurrence.

关 键 词：间歇性外斜视 视感知觉训练 小儿 双眼 外直肌后徙 视功能 复发 

分 类 号：R779.7[医药卫生—眼科]