双眼外直肌后徙术、单眼外直肌后徙联合内直肌缩短术治疗基本型间歇性外斜视患儿的效果对比  

Comparison on the Effects of Binocular Lateral Rectus Recession vs.Monocular Lateral Rectus Recession Combined with Medial Rectus Shortening in the Treatment of Children with Basic Intermittent Exotropia

作　　者：李文庆 刘锦荣 何庆萍 LI Wenqing;LIU Jinrong;HE Qingping(Department of Ophthalmology,Ganzhou People's Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院眼科,江西赣州341000

出　　处：《临床医学工程》2023年第12期1687-1688,共2页Clinical Medicine & Engineering

摘　　要：目的比较双眼外直肌后徙术、单眼外直肌后徙联合内直肌缩短术治疗基本型间歇性外斜视(IXT)患儿的临床效果。方法选取2020年1月至2021年11月我院收治的56例基本型IXT患儿,随机分为两组各28例。对照组采用单眼外直肌后徙联合内直肌缩短术治疗,观察组采用双眼外直肌后徙术治疗。比较两组的眼位矫正效果以及手术前后的斜视度。结果两组的眼位矫正效果比较,差异无统计学意义(P>0.05)。术后6个月、12个月,两组的视近、视远斜视度均低于术前,且观察组的视近、视远斜视度均低于对照组(P<0.05)。结论双眼外直肌后徙术、单眼外直肌后徙联合内直肌缩短术治疗基本型IXT患儿均具有良好的矫正效果,但双眼外直肌后徙术对患儿斜视度的改善更明显。Objective To compare the effects of binocular lateral rectus recession vs.monocular lateral rectus recession combined with medial rectus shortening in the treatment of children with basic intermittent exotropia(IXT).Methods 56 children with basic IXT admitted to our hospital from January 2020 to November 2021 were selected and randomly divided into two groups,with 28 cases in each group.The control group was treated with monocular lateral rectus recession combined with medial rectus shortening,and the observation group was treated with binocular lateralrectus recession.The correction effect ofeye position and the degree of strabismus before and afer surgery were compared between the two groups.Results No significant difference was found in the correction effect of eye position between the two groups(P>0.05).At 6 months and 12 months after surgery,the near strabismus degree and far strabismus degree of the two groups were lower than those before surgery,and the near strabismus degree and far strabismus degree ofthe observation group were lower than those of the control group(P<0.05).Conclusions Both binocular lateral rectus recession and monocular lateral rectus recession combined with medial rectus shortening have good correction effects in the treatment of children with basic IXT,but binocular lateral rectus recession has more obvious improvement in strabismus degree of children.

关 键 词：基本型间歇性外斜视 外直肌后徙术 内直肌缩短术 矫正效果 斜视度 

分 类 号：R777.41[医药卫生—眼科]