摘要
目的 :研究交替性内斜视的手术量。方法 :对 72例交替性内斜视采用相同检查方法 ,一组给同等量内直肌后徙术 ,另一组给不同量内直肌后徙术。结果 :在术后 1～ 6年的随访中 ,同等量后徙组保持正位(± 10 △) ,术后成功率为 89% ,非同等量后徙组手术成功率为 80 %。术后三级功能的建立 ,同等量后徙术显著优于非同等量后徙术。结论 :交替性内斜视手术采用同等量内直肌后徙术 ,不但手术成功率高 ,而且有利于手术后双眼三级功能的建立。
Objective:To compare the efficacy of symmetrical and asymmetrical recession of internus in alternating esotropia.Method:72 cases of alternating esotropia were divided into symmetrical surgery group and asymmetrical surgery group.Result:After 1-6 years follow-up,the success rate of alignment(±10 △)was 89% in the former group,and the success rate of alignment was 80% in the latter group.Symmetrical surgery was superior to asymmetrical surgery in obstruction of binocular vision function.Conclusion:Symmetric recession of internus in alternative esotropia can improve the success rate and the binocular vision function.
关键词
内斜视
外科手术
治疗
Esotropia
Surgery,eye
Treatment outcome
