超常量外直肌悬吊后徙术矫治大角度外斜视手术效果及对双眼视功能和睑板腺功能的影响  

Effect of Supernormal Lateral Rectus Suspending and Recession in Correcting Large Angle Strabismus and the Influence on Binocular Visual Function and Meibomian Gland Function

作　　者：李利文[1] 黄再红[1] 王茜[1] LI Liwen;HUANG Zaihong;WANG Qian(Department of Ophthalmology,Suining Central Hospital,Suining 629000,Sichuan,China)

机构地区：[1]遂宁市中心医院眼科,四川遂宁629000

出　　处：《中国美容医学》2023年第10期4-8,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究超常量外直肌悬吊后徙术矫治大角度外斜视前后眼表及睑板腺功能的影响。方法:选取2018年1月-2022年6月笔者医院收治的62例大角度外斜视患者为研究对象,应用随机数字表法分为对照组(采用常规手术治疗,n=30,38眼)、观察组(采用超常量外直肌悬吊后徙术矫治,n=32,41眼)。比较两组手术相关指标、矫治效果、前后眼表功能和睑板腺功能,并观察并发症发生情况。结果:观察组手术时间、住院时间与对照组比较差异无统计学意义(P>0.05),但随访半年复发率较对照组低(P<0.05)。观察组术后1周斜视矫治效果与对照组比较差异无统计学意义(P>0.05),但术后半年斜视矫治成功率为43.90%,较对照组的31.58%高(P<0.05),未愈率2.44%,较对照组的18.42%低(P<0.05)。术后两组视觉功能分级较术前明显降低(U=31.760、10.823,P<0.05),且观察组明显优于对照组(U=3.904,P<0.05)。两组睑板腺功能(睑板腺分泌物评分)的测量在时间、组别及交互作用差异均有统计学意义(P<0.05)。观察组并发症总发生率较对照组低(P<0.05)。结论:超常量外直肌悬吊后徙术矫治大角度外斜视患者,不仅矫治效果好,且可有效改善患者前后眼表及睑板腺功能,同时手术安全性好,在大角度外斜视患者治疗中有明确应用优势。Objective The purpose of this study was to investigate the effect of supernormal lateral rectus suspending and recession on anteroposterior ocular surface and meibomian gland function in patients with large angle strabismus.Methods Sixty-two patients with large angle strabismus treated in the author's hospital from January 2018 to June 2022 were selected as the study objects.They were randomly divided into control group(conventional surgery,n=30,38 eyes)and observation group(supernormal lateral rectus suspending and recession,n=32,41 eyes).Surgery-related indexes,correction effect,anteroposterior ocular surface and meibomian gland function were compared between the groups.The occurrence of complications was observed.Results There was no significant difference in operation time and hospitalization time between the two groups(P>0.05).However,recurrence rate in observation group was significantly lower than that in control group within the half year of follow-up(P<0.05).There was no significant difference in the correction effect of strabismus between the two groups at 1 week after surgery(P>0.05).The success rate of strabismus correction in observation group was significantly higher than that in control group(43.90%vs.31.58%)at six months after surgery(P<0.05),and unhealed rate was significantly lower than that in control group(2.44%vs 18.42%)(P<0.05).After surgery,visual function grading in both groups was significantly decreased(U=31.760,10.823,P<0.05),which was significantly better in observation group than control group(U=3.904,P<0.05).There were statistically significant differences in meibomian gland function(scores of meibomian gland secretions)in terms of time effect,inter-group effect and interaction effect(P<0.05).The total incidence of complications in observation group was significantly lower than that in control group(P<0.05).Conclusion The correction effect of supernormal lateral rectus suspending and recession is good on patients with large angle strabismus,which can also effectively improve tanterop

关 键 词：直肌悬吊后徙术 超常量 大角度外斜视 前后眼表 睑板腺功能 

分 类 号：R779.6[医药卫生—眼科]