摘要
目的探讨间歇性外斜视的手术疗效。方法收集我院2006年12月至2012年7月行矫正手术的80例间歇性外斜视患者,根据年龄、双眼视功能、分型及斜视度设计手术,术后至少随访半年,分析手术疗效。结果本组80例间歇性外斜视患者手术疗效对比结果如下:①分开过强型、基本型差异无统计学意义(χ2=0.001,P>0.05);分开过强型、集合不足型差异有统计学意义(χ2=4.607,P<0.05);基本型、集合不足型差异有统计学意义(χ2=5.050,P<0.05);②5～9岁组、10～14岁组差异无统计学意义(χ2=0.013,P>0.05);5～9岁组、15岁以上组差异无统计学意义(χ2=0.728,P>0.05);10～14岁组、15岁以上组差异无统计学意义(χ2=0.590,P>0.05);③术前、术后半年双眼视功能差异有统计学意义(χ2=8.025,P<0.05)。结论间歇性外斜视根据年龄、双眼视功能、分型及斜视度设计手术,把握好手术时机,有利于提高手术疗效。
Objective To investigate operation effects of intermittent exotropia. Methods Eighty patients with intermittent exotropia underwent the corrected surgery in our hospital from December 2006 to July 2012 were enrolled. Operation was designed based on age, binocular vision, amblyopic type and degree. The patients were followed up for at least half a year after operation. The operation effects were analyzed. Results The comparisons of operation effects of 80 patients with intermittent exotropia were as follow. ① Divergence excess pattern and basic exodeviation pattern had no significant difference （Х^2 = 0.001, P 〉0.05）; divergence excess pattern and convergence insufficiency pattern had significant difference （Х^2 = 4.607, P 〈0.05）; basic exodeviation pattern and convergence insufficiency pattern had significant difference （Xz = 5.050, P〈0.05）. ②Group 5 to 9 years of age and group 10 to 14 years of age had no significant difference （Х^2 = 0.013, P〉0.05）; group 5 to 9 years of age and group over 15 years of age had no significant difference （Х^2 = 0.728, P〉0.05）; group 10 to 14 years of age and group over 15 years of age had no significant difference （Х^2 = 0.590, P 〉0.05）. ③Significant difference existed between preoperative biocular vision and postoperative biocular vision （Х^2 = 8.025, P〈0.05）. Conclusions Operation based on age, binocular vision, amblyopic type, degree and best operation time are suggested for improving the operation effects.
出处
《临床医学工程》
2013年第4期417-419,共3页
Clinical Medicine & Engineering
基金
东莞市医疗卫生类科技计划(编号:201210515059235)
关键词
间歇性外斜视
双眼视功能
手术治疗
Intermittent exotropia
Binocular vision
Operation therapy
