儿童部分调节性内斜视手术矫正105例分析  

Analysis of One Hundred and Five Cases with Partially Accommodative Esotropia in Children Treated by Surgical Correction

作　　者：朱德峰[1] 张秀英[1] 田燕[1] 

机构地区：[1]山东省单县中心医院眼科,山东单县274300

出　　处：《医学临床研究》2003年第5期346-348,共3页Journal of Clinical Research

摘　　要：目的探讨儿童部分调节性内斜视的手术时机。方法观察了 10 5例儿童部分调节性内斜视矫正术后的立体视恢复情况 ,分析各种因素对其立体视恢复的影响。结果10 5例中 ,78例术后获得立体视 ,功能治愈率为 74 .3% ,且术后立体视的恢复率与术前相比 ,差异有非常显著性 (P <0 .0 1)。早期手术组及具有融合功能组的立体视的恢复率显著高于较晚手术组及无融合功能组 (P <0 .0 1) ;发病越早 ,术后建立立体视的预后越差。结论儿童部分调节性内斜视 ,其非调节因素所引起的斜视需手术矫治。当患儿弱视治愈 ,戴全矫眼镜半年眼位仍不能正位时 ,应尽早手术矫正其残存的内斜度。术后由于调节因素所致的内斜视仍需配镜矫正。ObjectivesThe study was designed to approach the surgical opportunity of partially accommodative esotropia in children.MethodsThe recovery of stereopsis in 105 children with partially accommodative esotropia after surgical correction were investigated.Various factors affecting stereopsis recovery were analysed.ResultsFinal stereopsis was obtained in 78 out of 105 cases,with a functional healing rate of 74.3%. Highly significant difference existed as the recovery rates of postoperative stereopsis were compared with those before operation (P<0.01). The earlier the operation,the better was the chance of building up stereopsis ;the younger the onset of strabismus,the poorer was the prognosis of building up stereopsis after operation .In groups of children with earlier operation and fusion function, their recovery rates of stereopsis were significantly higher than those with later operation and without fusion function (P<0.01).ConclusionIn children showing partially accommodative esotropia , surgical correction is needed in esotropia caused by non regulatory factors.Surgical operation must be early performed for the remnant esotropia in children whose amblyopia have been cured but full correction of hyperopia failed after having worn spectacles for 6 months . Wearing spectacles for correction of hyperopia is also necessary in children with esotropia caused by regulatory factors. [

关 键 词：部分调节性内斜视 手术矫正 手术时机 治疗 儿童 

分 类 号：R777.41[医药卫生—眼科] R779.6[医药卫生—临床医学]