摘要
目的:分析斜视手术治疗中不同切口选择对患者泪膜功能及手术安全性的影响。方法:选择福建医科大学附属三明第一医院2018年1月至2022年1月接受手术治疗的60例斜视患者,根据不同切口选择将患者分为两组,28例患者选择角膜缘梯形结膜瓣切口开展手术为对照组,32例患者选择改良Parks切口开展手术为观察组,比较两组患者手术总体效果。结果:两组患者术后7 d、14 d的干眼症状评分、泪液分泌量及泪膜破裂时间均少于术前,且观察组患者术后干眼症评分均低于对照组,差异具有统计学意义(P<0.05);观察组患者并发症发生率为3.13 %(1/32),低于对照组的25.00 %(7/28),差异具有统计学意义(P<0.05)。观察组患者手术满意度高于对照组,差异具有统计学意义(P<0.05)。结论:不同切口开展斜视手术均可保证治疗效果,但改良Parks切口可促进泪膜功能改善,并提升手术安全性。
Objective To analyze the effect of different incision choices on tear film function and surgical safety in the treatment of strabismus patients.Methods A total of 60 patients with strabismus who underwent surgery in Sanming First Hospital Affiliated to Fujian Medical University from January 2018 to January 2022 were selected and divided into two groups according to different incision choices.28 patients were treated with limbal trapezoidal conjunctival flap incision as the control group,and 32 patients were treated with modified Parks incision as the observation group.The overall operation effect was compared between the two groups.Results The dry eye symptom score,tear secretion and tear film rupture time at 7 and 14 days after operation in the two groups were lower than those before operation,and the dry eye score in the observation group was lower than that in the control group,and the differences were statistically significant (P < 0.05).The incidence of complications in the observation group was 3.13 % (1/32),which was lower than 25.00 % (7/28) in the control group,and the difference was statistically significant (P < 0.05).The operation satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant (P < 0.05).Conclusion Different incisions can ensure the therapeutic effect of strabismus surgery,but modified Parks incision can promote the improvement of tear film function and improve surgical safety.
作者
林少敏
杨静
庄文英
LIN Shao-ming;YANG Jing;ZHUANG Wen-ying(Sanming First Hospital Affiliated to Fujian Medical University,Fujian Sanming 365000)
出处
《深圳中西医结合杂志》
2022年第17期94-97,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
斜视
外科手术
手术切口
泪膜功能
Strabismus
Surgery
Surgical incision
Tear film function
