后巩膜加固术对病理性近视患儿近期和远期疗效的影响  

Effect of Post-scleral Reinforcement on the Recent and Long-term Curative Effect of Children With Pathological Myopia

作　　者：骆蓉蓉 林敏玲 黄恩娥 林燕瑜 LUO Rongrong;LIN Minling;HUANG En’e;LIN Yanyu(Department of Ophthalmology,Quanzhou Women’s and Children’s Hospital,Quanzhou Fujian 362000,China)

机构地区：[1]泉州市妇幼保健院·儿童医院眼科,福建泉州362000

出　　处：《中国卫生标准管理》2022年第20期21-24,共4页China Health Standard Management

基　　金：福建省泉州市科技计划项目(2019NO45S)。

摘　　要：目的 观察后巩膜加固术对病理性近视患儿近期、远期疗效的影响。方法 回顾性分析泉州市妇幼保健院·儿童医院2019年6月—2020年6月收治的24例(42眼)病理性近视患儿临床诊疗资料,患儿均在确诊后自愿开展后巩膜加固术,比较本次研究对象治疗前后心理情绪及视力、眼压、屈光度、眼轴长度等眼科指标的影响,同时随访分析患儿术后并发症、手术治疗满意度。结果 24例患儿术后3个月视力为(421.65±10.24)D,与术前视力(420.43±10.23)D相比略高,数据差异无统计学意义(P> 0.05)。患儿术后3个月屈光度以及眼轴长度、眼压分别为(19.54±2.11)D、(27.67±3.08)mm、(17.64±2.11)mmHg,均低于术前屈光度以及眼轴长度、眼压,分别为(24.54±2.12)D、(30.43±3.10)mm、(32.34±2.12)mmHg,数据差异有统计学意义(P <0.05)。术后6个月与术后12个月患儿疾病复发率分别为8.33%、20.83%,数据差异无统计学意义(P> 0.05)。术后6个月与术后12个月患儿家属对手术治疗效果满意度分别为91.67%、75.00%,数据差异无统计学意义(P> 0.05)。结论 病理性近视患儿后巩膜加固术可有效对抗屈光度加深、眼轴长度增加,延缓视力减退,安全性高。Objective To observe the effect of post-scleral reinforcement on the recent and long-term curative effect of children with pathological myopia was observed.Methods The clinical diagnosis and treatment data of 24 children(42 eyes) with pathological myopia admitted to Quanzhou Women’s and Children’s Hospital from June 2019 to June 2020 were retrospectively analyzed,they were voluntary to carry out the posterior sclera reinforcement after diagnosis,the effects of psychological emotions,visual acuity,intraocular pressure,diopter,axial length and other ophthalmic indicators before and after treatment were compared.Postoperative complications and satisfaction with surgical treatment were also analyzed.Results The visual acuity of 24 patients at 3 months after operation was(421.65±10.24) D,which was slightly higher than that before operation(420.43±10.23) D,and the difference was not statistically significant(P > 0.05).The diopter,axial length and intraocular pressure at 3months after operation were(19.54±2.11) D,(27.67±3.08) mm and(17.64±2.11) mmHg,respectively,which were lower than those before operation(24.54±2.12) D,(30.43±3.10) mm,(32.34±2.12) mmHg,respectively,and the differences were statistically significant(P 0.05).The satisfaction of family members of children with surgical treatment effect at 6 months and 12 months after operation was 91.67%and 75.00%,respectively,and the difference was not statistically significant(P > 0.05).Conclusion Posterior scleral reinforcement in children with pathological myopia can effectively resist the deepening of diopter and the increase of axial length,delay the decline of vision,and has high safety.

关 键 词：后巩膜加固术 病理性近视 近视 屈光度 眼轴长度 眼压 临床效果 

分 类 号：R778[医药卫生—眼科]