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引用:曾俊,刘陇黔.间歇性外斜视术后中远期眼位的相关因素分析.国际眼科杂志 2020;20(8):1448-1451,doi:10.3980/j.issn.1672-5123.2020.8.33
间歇性外斜视术后中远期眼位的相关因素分析
Analysis of related factors affecting mid-long-term eye position of patients with intermittent exotropia after operation
投稿时间:2020-01-21  修订日期:2020-07-10
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DOI:10.3980/j.issn.1672-5123.2020.8.33
关键词:  间歇性外斜视  术后眼位  斜视类型  斜视度  影响因素
Key Words:  intermittent exotropia  postoperative eye position  the type of strabismus  exotropia deviation  influencing factors
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曾俊 中国四川省成都市,四川大学华西医院眼科; 中国四川省自贡市第三人民医院眼科
刘陇黔 中国四川省成都市,四川大学华西医院眼科
     
AuthorInstitution
Jun Zeng Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu , Sichuan Province, China; Department of Ophthalmology, the Third People's Hospital of Zigong City, Zigong , Sichuan Province, China
Long-Qian Liu Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu , Sichuan Province, China
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摘要:
      

目的:探讨间歇性外斜视患者术后中远期眼位的影响因素。

     方法:回顾性分析我院眼科2017-01/2018-08收治的间歇性外斜视患者78例的临床资料,收集患者的斜视类型、手术年龄、术前有无近立体视和斜视度及术后第1d斜视度等资料,探讨术后中远期眼位的影响因素。

     结果:本研究纳入患者术后中远期眼位正位者47例(60%),其中术前集合不足型患者43例,术后中远期眼位正位者18例(42%); 基本型患者31例,术后中远期眼位正位者26例(84%); 分开过强型患者4例,术后中远期眼位正位者3例(75%)。单因素分析结果显示,术后中远期眼位正位者与无效者斜视类型、术前视近斜视度具有差异(P<0.05); 多因素Logistic回归分析显示,斜视类型(基本型)是影响间歇性外斜视患者术后中远期眼位的危险因素(OR=5.769,95%CI:1.790~18.595,P<0.05)。

     结论:斜视类型是间歇性外斜视患者术后中远期眼位的独立影响因素,临床应引起足够重视。

Abstract:
      AIM: To explore the influence factors of the mid-long-term postoperative eye position of patients with intermittent exotropia(IXT).

     METHODS: Retrospective analysis was performed on the clinical data of 78 patients with intermittent exotropia admitted to the ophthalmology department of our hospital during 2017-01/2018-08. Data of patients with strabismus type,operation age, preoperative binocular vision function and the eye position of preoperative and postoperative day one were collected, to explore the influence factors of the mid-long-term postoperative eye position.

     RESULTS: The result display that 47 cases(60%)had positive eye position in the mid-long-term after operation. There were 43 cases of insufficient collection type, 18 cases(42%)cured in eye position. The operation was successful in 26 of the 31 cases(84%)of basic type; 3 of 4(75%)divergence excess type were successful after operation. The results of univariate analysis showed that the difference of strabismus type and preoperative eye position between the two groups was statistically significant(P<0.05). Multivariate logistic regression analysis showed that type of strabismus(OR: 5.769, 95% CI: 1.790-18.595), was independent influencing factors of the eyes position in the mid-long-term after operation(P<0.05).

     CONCLUSION:The strabismus type was independent predictors of the eyes position in the mid-long-term after operation, which should be paid more attention in clinical practice.

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