外直肌倾斜后徙术与传统外直肌后徙术治疗集合不足型间歇性外斜视疗效比较的meta分析  

Slanted bilateral lateral rectus recession versus conventional bilateral lateral recession for the convergence insufficiency type of intermittent exotropia:a meta-analysis

作　　者：赵秋语 陈黎[2] 薛黎萍 胡敏[2] ZHAO Qiuyu;CHEN Li;XUE Liping;HU Min(School of Medicine,Yunnan University,Kunming,Yunnan 650504,China;Department of Pediatric Ophthalmology,Affiliated Hospital of Yunnan University,Kunming,Yunnan 650021,China)

机构地区：[1]云南大学医学院,昆明650504 [2]云南大学附属医院儿童眼科,昆明650021

出　　处：《重庆医学》2025年第3期696-700,708,共6页Chongqing Medical Journal

基　　金：云南省卫生健康委员会医学领军人才培养计划(L-2018018);云南大学新一轮“双一流”建设项目(CY22624106)。

摘　　要：目的比较外直肌倾斜后徙术(S-BLR)和传统外直肌后徙术(C-BLR)治疗集合不足型间歇性外斜视的疗效。方法检索PubMed、Cochrane Library、EmBase、Web of Science和中国知网、万方、维普数据库中自建库起至2023年11月发表的相关研究,比较S-BLR与C-BLR的手术效果,以OR值和95%CI表示,并采用随机效应模型对手术的成功率、复发率、过矫率和立体视改善率等进行分析。结果共纳入5项研究,涉及296例患者。S-BLR手术的成功率明显高于C-BLR(OR=4.06,95%CI:2.47~6.67,P<0.001),接受C-BLR手术的患者复发率更高(OR=0.21,95%CI:0.08~0.52,P<0.001)。S-BLR和C-BLR手术的过矫率(OR=0.43,95%CI:0.07~2.52,P=0.35)和立体视改善率(OR=0.82,95%CI:0.36~1.83,P=0.62)比较差异无统计学意义(P>0.05)。结论S-BLR手术对治疗集合不足型间歇性外斜视患者具有较高的成功率和较低的复发率。Objective To compare the efficacy between slanted bilateral lateral rectus recession(S-BLR)and conventional bilateral lateral recession(C-BLR)procedure in the treatment of convergence insufficiency-type intermittent exotropia.Methods Relevant studies published before November 2023 were systematically searched in PubMed,Cochrane Library,EmBase,Web of Science,CNKI,Wanfang and VIP databases to compare the surgical effects of S-BLR and C-BLR,expressed by OR value and 95%CI.The success rate,recurrence rate,overcorrection rate and stereoscopic improvement rate were analyzed by random effects model.Results A total of 5 studies involving 296 patients were included in the analysis.The success rate of the S-BLR procedure was significantly higher than that of C-BLR(OR=4.06,95%CI:2.47-6.67,P<0.001),patients subjected to the C-BLR procedure were more likely to be recurrent(OR=0.21,95%CI:0.08-0.52,P<0.001).No statistically significant differences in the combined results for overcorrection rates(OR=0.43,95%CI:0.07-2.52,P=0.35)and stereoscopic improvement rates(OR=0.82,95%CI:0.36-1.83,P=0.62)were present between the S-BLR and C-BLR procedures(P>0.05).Conclusion S-BLR procedure has a higher success rate and a lower recurrence rate in patients with aggregation-deficient intermittent exotropia.

关 键 词：集合不足型间歇性外斜视 外直肌倾斜后徙术 传统外直肌后徙术 手术治疗 META分析 

分 类 号：R779.6[医药卫生—眼科]