单眼内直肌缩短术联合外直肌后徙术在集合不足型间歇性外斜视患儿中的应用效果  

Application Effect of Monocular Medial Rectus Shortening Combined with Lateral Rectus Retreat in Children with Intermittent Exotropia with Insufficient Convergence

作　　者：满滕滕 姜丽[1] 张楠 孙振静 李兴义 MAN Tengteng;JIANG Li;ZHANG Nan;SUN Zhenjing;LI Xingyi(Department of Ophthalmology,Zaozhuang Maternal and Child Health Hospital,Zaozhuang,Shandong Province,277000 China)

机构地区：[1]枣庄市妇幼保健院眼科,山东枣庄277000

出　　处：《中外医疗》2023年第3期10-14,共5页China & Foreign Medical Treatment

摘　　要：目的对单眼内直肌缩短术与外直肌后徙术两种方法应用于集合不足型间歇性外斜视患儿的效果予以评价与分析。方法简单随机选取2019年1月—2021年1月枣庄市妇幼保健院治疗的100例集合不足型间歇性外斜视患儿进行研究,根据术式不同分为对照组和观察组,对照组(48例)予以双眼内直肌缩短术;观察组(52例)给予单眼内直肌缩短术联合外直肌后徙术,对比两组治疗后的矫正效果、远近斜视度、安全性及复发情况。结果观察组的优良率为94.23%,明显高于对照组的56.25%,差异有统计学意义(χ^(2)=19.740,P<0.05)。术后6个月,观察组的视远、视近斜视度分别为(5.62±1.43)、(6.24±1.44)^(△),均明显低于对照组的(12.14±2.33)与(15.22±3.20)^(△);术后12个月,观察组的视远、视近斜视度分别为(9.13±2.15)、(9.96±2.39)^(△),均明显低于对照组的(14.51±3.76)、(18.39±4.34)^(△),差异有统计学意义(P<0.05)。观察组的安全率为94.23%,高于对照组的85.11%,但差异无统计学意义(P>0.05)。术后6个月与术后12个月,观察组复发例数明显低于对照组,差异有统计学意义(P<0.05)。结论将单眼内直肌缩短术联合外直肌后徙术应用于集合不足型间歇性外斜视,能良好改善患儿的视远、视近斜视度,安全可靠,复发率低,治疗效果显著。Objective To evaluate and analyze the effects of monocular medial rectus shortening and lateral rectus retreat in children with intermittent exotropia with insufficient convergence.Methods A total of 100 children with insufficient convergence intermittent exotropia treated in Zaozhuang Maternal and Child Health Hospital from January 2019 to January 2021 were simple randomly selected for research.The patients were divided into control group and observation group according to different operation methods.The control group(48 cases)received bilateral medial rectus shortening operation;the observation group(52 cases)received monocular medial rectus shortening combined with lateral rectus retrograde operation.The correction effect,far and near strabismus degree,safety and recurrence were compared between the two groups after treatment.Results The excellent and good rate in the observation group was 94.23%,significantly higher than that in the control group(56.25%),the difference was statistically significant(χ^(2)=19.740,P<0.05).Six months after operation,the distance and near vision strabismus of the observation group were(5.62±1.43)^(△)and(6.24±1.44)^(△)respectively,which were significantly lower than those of the control group(12.14±2.33)and(15.22±3.20)^(△);at 12 months after operation,the distance and near vision strabismus of the observation group were(9.13±2.15)^(△)and(9.96±2.39)^(△)respectively,which were significantly lower than those of the control group(14.51±3.76)and(18.39±4.34)^(△),the difference was statistically significant(P<0.05).The safety rate of the observation group was 94.23%,higher than that of the control group(85.11%),but the difference was not statistically significant(P>0.05).Six months after operation and 12 months after operation,the number of recurrence cases in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of monocular medial rectus shortening and lateral rect

关 键 词：单眼内直肌缩短术 集合不足型 间歇性外斜视 双眼外直肌后徙术 

分 类 号：R4[医药卫生—临床医学]