CAJ | 학술논문

目的对比分析间歇性外斜视单眼外退-内截手术效果、外退-内截各1 mm平均矫正量、视远视近矫正效果的差异. 方法对96例间歇性外斜视患者行单眼外退-内截手术,对术后远期眼位、平均矫正量和视近视远手术效果差异进行统计学分析. 结果功能治愈58例(60.42%),临床治愈89例(92.71%);基本型、集合不足型及外展过强型外斜视患者手术后视远视近斜视角差异较手术前视远视近斜视角差异明显减小,差异有统计学意义(P<0.05).平均矫正效果与术前斜视度呈负相关(P<0.05);平均矫正效果与手术量呈正相关(P<0.05);与手术年龄、发病年龄无相关性. 结论间歇性外斜视单眼外退-内截手术设计应考虑术前斜视度对平均矫正量的影响,外退-内截手术可以较好的矫正远近斜视度的差异.
목적 대비분석간헐성외사시단안외퇴-내절수술효과、외퇴-내절각1 mm평균교정량、시원시근교정효과적차이. 방법 대96례간헐성외사시환자행단안외퇴-내절수술,대술후원기안위、평균교정량화시근시원수술효과차이진행통계학분석. 결과 공능치유58례(60.42%),림상치유89례(92.71%);기본형、집합불족형급외전과강형외사시환자수술후시원시근사시각차이교수술전시원시근사시각차이명현감소,차이유통계학의의(P<0.05).평균교정효과여술전사시도정부상관(P<0.05);평균교정효과여수술량정정상관(P<0.05);여수술년령、발병년령무상관성. 결론 간헐성외사시단안외퇴-내절수술설계응고필술전사시도대평균교정량적영향,외퇴-내절수술가이교호적교정원근사시도적차이.
Objective To Study the unilateral recession-resection surgery(R-R)outcome,surgical dose of(R-R)1 mm,the different surgery effect between fixation far and near.Methods A retrospective study in 96 intermittent exotropia patients underwent R-R surgery,analysis the outcome;the influence factors of the dose of(R-R)1 mm;the different effect between fixation at 5 m and 33 cm.Results The functional cure ratio:58/96(60.42%);the clinical cure ratio:89/96(92.71%);The LR-MR can decrease the deviation angle difference between fixation at 5 m and 33 cm(P<0.05).Surgical dose(R-R)1 mm is liner correlated with preoperative deviation and surgical amounts(P<0.05).It is not correlated with age of surgery and age of onset.Conclusion If use unilateral recession-resection surgery procedure for intermittent exotropia should consider the deviation angle affect the surgical dose of(R-R)1 mm;This procedure successfully reduce both distance and near deviation and to collapse near-distance differences.