陆军军医大学学报2026，Vol.48Issue(3)：345-353,9.DOI:10.16016/j.2097-0927.202509064
儿童青少年与成人共同性外斜视术后近立体视功能重建率比较及其影响因素差异
Comparison of near stereopsis restoration rates and influencing factors between pediatric and adult patients after surgery for concomitant exotropia
摘要
Abstract
Objective To investigate the restoration of near stereopsis following corrective surgery for concomitant exotropia and analyze its influencing factors.Methods This retrospective case series included 246 patients with concomitant exotropia who underwent strabismus surgery between February 2022 and June 2025.The patients were stratified into a pediatric group(6～<18 years,n=147)and an adult group(≥18 years,n=99).Preoperative and postoperative clinical data were analyzed to assess near stereopsis restoration and its predictors.Results A total of 147 pediatric patients with concomitant exotropia were included.The preoperative presence rate of near stereopsis was 83.0%,increasing to 95.9%postoperatively.Postoperative outcomes for near stereoscopic function were cure(60.5%),improvement(19.7%),and no improvement(19.7%).Ninety-nine adult patients with concomitant exotropia were also included.The preoperative presence rate of near stereopsis was 43.4%,increasing to 85.9%postoperatively;Postoperative outcomes were cure(27.3%),improvement(43.4%),and no improvement(29.3%).Near stereoscopic function significantly improved postoperatively in both groups(P<0.001).The postoperative restoration rate was significantly higher in pediatric patients than in adults(80.3%vs 70.7%,χ²=27.543,P<0.001).Univariate analysis showed that in the pediatric group,age at surgery,type of exotropia,preoperative near stereopsis,preoperative near and distance deviation,surgical approach,and follow-up time were significant predictors(P<0.05).In adults,only the type of exotropia and preoperative near stereopsis were significantly associated with stereopsis restoration(P<0.05).Multivariate logistic regression analysis revealed that preoperative near stereopsis and exotropia type were independent predictors of stereopsis restoration in both groups(P<0.05).Additionally,in pediatric patients,age at surgery,surgical approach,and follow-up time were significant factors,while in adults,age at onset was significant(P<0.05).Conclusion Near stereopsis restoration is superior in pediatric patients versus adults.Key determinants differ:pediatric outcomes are influenced by surgical age,approach,follow-up,exotropia type,and preoperative stereopsis;adult outcomes by age at onset,exotropia type,and preoperative stereopsis.These differences should be taken into account in clinical practice.关键词
共同性外斜视/近立体视/影响因素/回顾性研究Key words
concomitant exotropia/near stereopsis/influencing factors/retrospective study分类
医药卫生引用本文复制引用
高利霞,霍姝佳,钱雨辰,张黎..儿童青少年与成人共同性外斜视术后近立体视功能重建率比较及其影响因素差异[J].陆军军医大学学报,2026,48(3):345-353,9.基金项目
重庆市自然科学基金面上项目(CSTB2023NSCQ-MSX0203) Supported by the General Program of Natural Science Foundation of Chongqing(CSTB2023NSCQ-MSX0203). （CSTB2023NSCQ-MSX0203）
