摘要
目的分析双眼外直肌后徙术(bilateral lateral rectus recession,BLR-rec)与单眼外直肌后徙术+内直肌缩短术(unilateral分析双眼外直肌后徙术(bilateral lateral rectus recession,BLR-rec)与单眼外直肌后徙术内直肌缩短术(unilateral recess-resect,R&R)在基本型间歇性外斜视患儿中的应用效果。方法选取我院基本型间歇性外斜视患儿98例,依照手术方选取我院基本型间歇性外斜视患儿例,依照手术方案不同分为BLR组(n=49)、RR组(n=49),BLR组采用BLR-rec,RR组采用R&R。统计比较两组手术效果。结果RR组组手术过矫4.08%、正矫85.71%、欠矫10.20%情况与BLR组10.20%、83.67%、6.12%比较,差异无统计学意义(P>0.05);RR组立体视功能提高69.39%、不变18.37%、降低12.24%情况与BLR组73.47%、16.33%、10.20%比较,差异无统计学意义(P>0.05);术后6个月、12个月RR组视近、视远斜视度高于BLR组(P<0.05);RR组复发率2.50%低于BLR组20.51%(P<0.05)。结论BLR-rec与R&R治疗基本型间歇性外斜视患儿均具有良好疗效,R&R受内直肌功能状态影响远期疗效稳定BLR-rec受内直肌功能状态影响远期疗效稳定性较BLR-rec差,但R&R复发率低于BLR-rec,因此,临床可根据患儿内直肌功能状态选择适宜术式。
Objective To compare and analyze the application of BLR-rec and unilateral rectus rectus+medial rectus shortening(R&R)in children with basic intermittent exotropia.Methods A total of 98 children with basic intermittent exotropia in our hospital were selected and divided into binocular group(n=49)and monocular group(n=49)according to different surgical schemes.BLRrec was used in the binocular group and R&R was used in the monocular group.Statistical comparison of surgical effects between the two groups.Results There was no significant difference in the overcorrection of 4.08%,corrective correction of 85.71%,and undercorrection of 10.20%in the monocular group compared with 10.20%,83.67%,and 6.12%of the binocular group(P>0.05);the stereoscopic function of the monocular group was increased by 69.39%,Unchanged 18.37%,decreased 12.24%compared with 73.47%,16.33%,10.20%in the binocular group,the difference was not statistically significant(P>0.05);nearsightedness,visual acuity in the monocular group at 6 and 12 months after surgery Far-sightedness was higher than that in the binocular group(P<0.05);the recurrence rate of 2.50%in the monocular group was lower than 20.51%in the binocular group(P<0.05).Conclusion Both BLRrec and R&R have good efficacy in treating children with basic intermittent exotropia.R&R is affected by the function of the medial rectus muscle.The long-term stability of the effect is worse than BLR-rec,but the recurrence rate of R&R is lower than BLRrec.,Clinically,the appropriate surgical method can be selected according to the function status of the rectus muscles in children.
作者
黄云云
HUANG Yun-yun(Department of Ophthalmology,Children's Hospital of Zhengzhou University,Henan children's Hospital,Zhengzhou children's Hospital,henan Province,450000,China)
出处
《中国医疗美容》
2020年第4期12-15,共4页
China Medical Cosmetology
关键词
基本型间歇性外斜视
双眼外直肌后徙术
单眼外直肌后徙术
内直肌缩短术
立体视功能
复发
basic intermittent exotropia
bilateral extraocular rectus recoil surgery
monolateral extra rectus recoil surgery
medial rectus shortening
stereoscopic function
recurrence
