| 董玉红.斜视矫正手术对不同类型斜视病人视觉功能的影响[J].安徽医药,2019,23(10):2029-2032. |
| 斜视矫正手术对不同类型斜视病人视觉功能的影响 |
| Effects of strabismus surgery on visual function in children with different types of strabismus |
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| DOI：10.3969/j.issn.1009?6469.2019.10.031 |
| 中文关键词: 斜视 眼外科手术 视轴矫正法 深度知觉 视觉，眼 视觉，双眼 |
| 英文关键词: Strabismus Ophthalmologic surgical procedures Orthoptics Depth perception Vision,ocular Vision,binocular |
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| 摘要点击次数: 1993 |
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| 中文摘要: |
| 目的研究斜视矫正手术对不同类型斜视病人视觉功能( visual performance，VP)的影响。方法选取 2012年 1月至 2014年 1月，于西安市中心医院行斜视矫正手术的 96例病人作为研究对象。按照斜视类型将病人分为三组:先天性上斜肌麻痹( SOP)组 14例；共同性内斜视( CET)组 19例；共同性外斜视( CXT)组 63例。手术方法采用斜视矫正手术， CXT病人给予双眼或单眼行外直肌后徙术( LRR)或单眼 LRR联合内直肌缩短术( MRMS)CET病人给予双眼或单眼内直肌后徙术( MRR)或单眼 MRR联合外直肌缩短术( ERS)，SOP病人给予双眼或单眼下斜肌( IO)断键，并摘除多余肌肉组织，随访 8周，每 2周 1次。分析各组病人的手术疗效及预后情况。结果 CXT组、 CET组、 SOP组术后痊愈率分别为 23.81%、31.58%、14.29%。三组在痊愈，基本痊愈，进步以及无效率之间，均差异无统计学意义( P＞0.05)。 CXT组、 CET组、 SOP组术后正位率分别为 77.78%、84.21%、 64.29%。CXT组、 CET组、 SOP组术后立体 VP率分别为 60.32%、68.42%、57.14%。CXT组、 CET组、 SOP组术后融合功能率分别为 68.25%、78.95%、71.43%。三组均差异无统计学意义( P＞0.05)。治疗后病人远立体视检测与近立体视检测结果中立体视结果均显著高于治疗前，均差异有统计学意义(均 P＜0.05)。结论斜视矫正手术对不同类型斜视病人的治疗疗效相近，不同类型斜视病人给予手术矫正后多数都能恢复双眼 VP。 |
| 英文摘要: |
| Objective To study the effects of strabismus surgery on performance(visual，VP)in children with different types of strabismus.Methods Ninety?six patients who underwent strabismus surgery in Xi’an Central Hospital from January 2012 to Janu? ary 2014 were selected as the research object.According to the type of strabismus，patients were assigned into three groups:14 cas? es of congenital superior oblique paralysis(superior oblique，palsy，SOP)group，19 cases of common concomitant esotropia(comi? tant esotropia，CET)group，and 63 cases of common exotropia(comitant exotropia，CXT)group.Surgical methods were performed with strabismus surgery.CXT patients were given bilateral or monocular rectus abdominis(LRR)or monocular LRR combined with rectus abdominis surgery(MRMS)； CET patients were given bilateral or monocular rectus recession(MRR)or monocular MRR combined with external rectus abdominis surgery(ERS)； SOP patients were given double eye or single lower oblique muscle(IO) broken key and removed excess muscle tissue，followed up for 8 weeks，once every 2 weeks.The surgical efficacy and prognosis of patients in each group were analyzed.Results The postoperative recovery rates of CXT group，CET group and SOP group were 23.81%，31.58%，and 14.29%，respectively.There were no significant differences between the three groups in recovery，basic recov? ery，improvement and inefficiency(P＞0.05). The postoperative positive rate of CXT group，CET group and SOP group were 77.78%，84.21%，and 64.29%，respectively.The postoperative three?dimensional VP rates of CXT group，CET group and SOP group were 60.32%，68.42% and 57.14%，respectively.The postoperative positive rate of CXT group，CET group and SOP group were 68.25%，78.95% and 71.43%，respectively.There was no significant difference between the three groups(P＞0.05).After treatment，the stereopsis results of patients with far stereopsis and near stereopsis were significantly higher than those before treatment，and the difference was statistically significant(P＜0.05).Conclusion The strabismus correction surgery is similar to the treatment ofdifferent types of strabismus patients.Most patients with different types of strabismus can recover their eyes with VP after surgery， |
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