双眼外直肌倾斜后徙术治疗集合不足型间歇性外斜视的疗效  

The Effect of bilateral lateral Rectus oblique Recession in treating the Convergence Insufficiency Types of intermittent Exotropia

作　　者：赵梦瑶[1] ZHAO Mengyao(Department of Ophthalmology,Zhoukou Central Hospital,Zhoukou Henan 466000,China)

机构地区：[1]周口市中心医院眼科,河南周口466000

出　　处：《临床研究》2022年第8期52-55,共4页Clinical Research

摘　　要：目的探讨集合不足型间歇性外斜视患者采用双眼外直肌倾斜后徙术治疗的临床效果。方法选取2019年1月至2021年1月周口市中心医院收治的90例集合不足型间歇性斜视患者为研究对象,采用均等单盲法分为对照组和研究组,各45例。其中对照组给予双眼外直肌后徙术治疗,研究组给予双眼外直肌倾斜后徙术治疗,比较两组术后1年的正位率,观察手术前和手术后1年患者斜视度变化;同时比较两组患者手术前和手术1年后双眼视功能和近立体视功能的差异。结果术后研究组正位率(95.56%)高于对照组(64.44%),欠矫率(6.67%)低于对照组(28.89%),差异有统计学意义(P<0.05),但两组过矫率比较,差异无统计学意义(P>0.05)。两组手术前看近斜视度、看远斜视度及看近—看远斜视度差值比较,差异无统计学意义(P>0.05);术后1年,两组看近斜视度、看远斜视度及看近—看远斜视度差值均低于本组手术前,差异有统计学意义(P<0.05),且研究组均低于对照组,差异有统计学意义(P<0.05)。两组手术前双眼视功能比较,差异无统计学意义(P>0.05);术后1年,两组双眼视功能较手术前相比有明显改善,差异有统计学意义(P<0.05),但两组术后1年双眼视功能比较,差异无统计学意义(P>0.05)。手术前两组近立体视功能正常和异常情况占比比较,差异无统计学意义(P>0.05);术后1年,两组近立体视功能占比高于本组手术前,异常占比低于本组手术前,差异有统计学意义(P<0.05),但两组术后1年正常和异常情况对比,差异无统计学意义(P>0.05)。结论两种手术方式均可以有效改善集合不足型间歇性外斜视患者的双眼视功能,但双眼外直肌倾斜后徙术相较于双眼外直肌后徙术而言在提高正位率和纠正斜视度方面更具优势,值得临床应用。Objective To investigate the clinical effect of bilateral lateral rectus oblique recession in treating the convergence insufficiency types of intermittent exotropia.Methods A total of 90 patients with the convergence insufficiency types of intermittent exotropia in Zhoukou Central Hospital from January 2019 to January 2021 were selected as the research objects.They were divided into control group and study group by equal single blind method,with 45 cases in each group.The control group was treated with binocular lateral rectus recession,and the study group was treated with binocular lateral rectus oblique recession.The orthostatic rate of the two groups was compared one year after operation,and the changes of strabismus were observed before and one year after operation;At the same time,the differences of binocular visual function and near stereoscopic visual function between the two groups before operation and one year after operation were compared.Results The positive rate(95.56%)in the study group was higher than that in the control group(64.44%),and the under correction rate(6.67%)was lower than that in the control group(28.89%),the difference was statistically significant(P<0.05),but there was no statistically significant difference between the two groups in the over correction rate(P>0.05).There was no significant difference between the two groups in the degree of near strabismus,far strabismus and near and far strabismus before operation(P>0.05);One year after operation,the difference of near strabismus,far strabismus and near and far strabismus between the two groups was lower than those before operation,and the difference was statistically significant(P<0.05),and the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in binocular visual function between the two groups before operation(P>0.05);One year after operation,the binocular visual function of the two groups was significantly improved compared with that be

关 键 词：双眼外直肌倾斜后徙术 集合不足型间歇性外斜视 正位率 双眼视功能 近立体视功能 

分 类 号：R779.6[医药卫生—眼科]