大角度外斜视手术方法的探讨
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

辽宁省科学技术计划项目(No.2008408002-1)


Study on effective methodfor large angle exotropia
Author:
Affiliation:

Fund Project:

Liaoning Provincial Science and Technology Supported Project, China(No. 2008408002-1)

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:寻求单眼手术治疗大角度外斜视的有效方法。

    方法:采用病例对照研究的方法比较两种术式治疗大角度外斜视的效果。将39例伴有弱视的大角度外斜视患者按术式分为A组和B组,A组做单眼常规量外直肌后退加外直肌错位缘切并内直肌缩短术; B组行单眼常规外直肌后退内直肌缩短术。A,B组按1:2配比,两组的病例在年龄和视力方面相匹配。治愈标准:术后6mo之后的眼位≤±8为治愈。用四格表Fisher确切概率检验法比较两组的治愈率。

    结果:A组的治愈率为84.6%,B组的治愈率为46.2%,两组间的治愈率经统计学分析有显著性意义(P<0.05)。

    结论:单眼外直肌常规量后退加外直肌错位缘切并内直肌缩短术治疗大角度外斜视比传统方法安全、有效。

    Abstract:

    AIM: To seek an effective method to cure the large angleexotropia by unilateral surgery.

    METHODS: A case-control study was used to compare two operation treatments of large angleexotropia. Totally 39 patients of large angle exotropia complied with highly amblyopic were divided into group A and group B according to the surgeon methods. Monocular normal quantity of lateral rectus recession combined the edge cutting in the external rectus and medial rectus shortening were performed in group A. The same operations except the edge cutting in the lateral rectus were performed in group B. A: B was equal to 1:2, with age and visual acuity matched. The eye position ≤±8 6 months postoperative was seen as the criteria of cure. The cure rate of two groups were compared with χ2- Fisher's exact probability test.

    RESULTS: The cure rate was 84.6% in group A and 46.2% in group B. There was significant difference in the cure rate between the two groups(P<0.05).

    CONCLUSION: The operation that the monocular normal quantity of lateralrectus back combined the edge cutting in the external rectus is safe and effective than the traditional method.

    参考文献
    相似文献
    引证文献
引用本文

张阳,赵岱新,濮伟,等.大角度外斜视手术方法的探讨.国际眼科杂志, 2013,13(2):396-397.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2012-09-17
  • 最后修改日期:2013-01-14
  • 录用日期:
  • 在线发布日期:
  • 出版日期:
文章二维码