国际眼科杂志2017，Vol.17Issue(8)：1602-1604,3.DOI:10.3980/j.issn.1672-5123.2017.8.54
两种不同术式治疗基本型间歇性外斜视的疗效比较
Observation on the curative effects of two surgical methods for basic intermittent exotropia
秦素英 1慕同禄 2朱东 3兰芳4
作者信息
- 1. 455000 中国河南省安阳市眼科医院斜视与小儿眼科
- 2. 455000 中国河南省濮阳市安阳地区医院神经内科
- 3. 475002 95900部队医院
- 4. 475000 中国河南省开封市儿童医院眼科
- 折叠
摘要
Abstract
AIM:To explore the differences between unilateral recess-resection (R & R) and bilateral lateral rectus recession (BLR-rec) in the treatment of basic intermittent exotropia.METHODS: A retrospective analysis of treatment of basic intermittent exotropia in 89 patients,in which 49 cases underwent unilateral recess-resection,40 cases underwent bilateral lateral rectus recession of external rectus retroperitoneal surgery January 2013 to January 2015 in our hospital.The stereopsis and strabismus were observed in 1d,1,6mo,1 and 2a after operation.RESULTS: There was no significant difference in the success rate and oblique degree between the two groups after 1d,1,6mo,1 and 2a (all P>0.05),but the success rate of the operation was reducing as time passed.After 2d of the operation,the drift of the R & R group was 12.10±5.74PD and the drift of the BLR-rec group was 7.78±4.21PD,the difference was statistically significant (P=0.021).The R & R group was more likely to cause lateral slanting than BLR-rec group.Two groups of patients with nearly stereopsis were both significantly improved,there was no significant difference between the two groups in the two groups (x2=4.530,P=0.210).CONCLUSION: The long-term stability of BLR-rec is superior to R & R.关键词
间歇性外斜视/基本型/单眼退截术/双眼外直肌后徙术/临床疗效Key words
intermittent exotropia/basic type/unilateral recess-resection/bilateral lateral rectus recession/clinical efficacy引用本文复制引用
秦素英,慕同禄,朱东,兰芳..两种不同术式治疗基本型间歇性外斜视的疗效比较[J].国际眼科杂志,2017,17(8):1602-1604,3.
