间歇性外斜视患儿矫正术后复发的影响因素  

Influencing factors of recurrence after corrective surgery of intermittent exotropia in children

作　　者：胡实 HU Shi(Strabismus and Pediatric Ophthalmology of Anyang Eye Hospital,Anyang 455000 Henan,China)

机构地区：[1]安阳市眼科医院斜视与小儿眼科,河南安阳455000

出　　处：《中国民康医学》2024年第14期11-13,17,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察间歇性外斜视患儿矫正术后复发的影响因素。方法:选取2022年10月至2023年10月在该院接受矫正术治疗的102例间歇性外斜视患儿进行横断面研究,术后随访6个月,根据是否复发将其分为复发组和未复发组,比较两组基线资料,采用Logistic回归分析间歇性外斜视患儿矫正术后复发的影响因素。结果:两组手术年龄、病程、术前斜视度、术后眼位、术前视功能比较,差异均有统计学意义(P<0.05);两组性别、斜视分型、戴镜情况、手术方式、睡眠质量、运动情况比较,差异均无统计学意义(P>0.05);Logistic回归分析结果显示,手术年龄≤6岁、病程≥3年、术前斜视度>40 PD、术后眼位非正位、术前无视功能均为间歇性外斜视患儿矫正术后复发的危险因素(OR>1,P<0.05)。结论:手术年龄≤6岁、病程≥3年、术前斜视度>40 PD、术后眼位非正位、术前无视功能均为间歇性外斜视患儿矫正术后复发的危险因素。Objective:To observe influencing factors of recurrence after corrective surgery of intermittent exotropia in children.Methods:A crosssectional study was conducted on 102 children with intermittent exotropia who underwent correction surgery in this hospital from October 2022 to October 2023.These patients were followed up for 6 months.They were divided into recurrence group and non-recurrence group according to whether they relapsed.The baseline data were compared between the two groups.Logistic regression analysis was used to analyze the influencing factors of postoperative recurrence in the children with intermittent exotropia.Results:There were significant differences in age,course of disease,preoperative strabismus angle,postoperative eye position and preoperative visual function between the two groups(P<0.05).There were no significant differences in gender,strabismus classification,wearing glasses,surgical methods,sleep quality and exercise between the two groups(P>0.05).Logistic regression analysis showed that surgical age≤6 years old,course of disease≥3 years,preoperative strabismus angle>40 PD,postoperative non-orthotopic eye position and preoperative visual function were all risk factors for recurrence after corrective surgery of intermittent exotropia in the children(OR>1,P<0.05).Conclusions:Surgical age≤6 years old,course of disease≥3 years,preoperative strabismus angle>40 PD,postoperative non-orthotopic eye position and preoperative visual function are the risk factors for recurrence after corrective surgery of intermittent exotropia in the children.

关 键 词：间歇性外斜视 矫正手术 复发 斜视度 眼位 视功能 影响因素 

分 类 号：R779.7[医药卫生—眼科]