摘要
目的 探讨儿童先天性内斜视的手术时机、手术方法及手术治疗效果。方法 回顾性分析采用手术治疗的先天性内斜视儿童 76例 ,行双眼内直肌后徙术 72例 ,单眼内直肌后徙加外直肌缩短术 4例。结果 术前斜视角 +30 △ ～+80 △ ,平均 +5 1.5 △ 。术后正位 6 1例 ,正位率 80 .2 6 % ;欠矫 15例 ,欠矫率 19.74 % ;无 1例过矫。无任何并发症发生。结论 先天性内斜视应早期手术 ,双眼内直肌后徙术疗效好 ,内直肌粗壮、紧张者手术效果尤佳。
Objective To evaluate the method, time and effi cacy of surgery treatment for patients with congenital esotropia in children. Methods A retrospective study of 76 patients with congenital es otropia was reviewed.Of 76 patients,72 underwent bimedial rectus muscle recess ions,4 underwent medial rectus muscle recession with external rectus muscle res ection. Results Preoperative angle of deviation of all patients were +30△～+80△ (mean+51.5△). Sixty-one cases (80.26%) achieved aligned. Fifteen cases (19.74%) still had esotropia(>+10△). None was changed into the patients with exotropia. Postoperative complication was not present in all patients. Conclusion The patients with congenital esotropia should be ope rated as soon as possible. The efficacy of bimedial rectus recession is generally obvious in the patients with congenital esotropia.
出处
《眼科新进展》
CAS
2004年第6期480-481,共2页
Recent Advances in Ophthalmology
关键词
先天性内斜视
内直肌
儿童
congenital esotropia
medial rectus muscle
child
