中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2009年
10期
1130-1133
,共4页
眼外肌%手术%睑裂
眼外肌%手術%瞼裂
안외기%수술%검렬
Extraocular muscles%Surgery%Palpebral fissure
目的 观察下斜肌后徙和下斜肌后徙前转位术术后睑裂的变化,了解两种术式对睑裂的影响.方法 记录18只眼下斜肌后徙术和16只眼下斜肌后徙前转位术患眼手术前后睑裂的情况,并对各组数据进行分析,统计结果用x+s表示.结果 下斜肌后徙术治疗的18只眼,术后睑裂变小(0.77±0.43)mm,与术前相比有显著统计学意义(P＜0.01,t=6.19).下斜肌后徙前转位术治疗的16只眼,术后睑裂变小(1.3±0.26)mm,与术前相比有显著统计学意义(P＜0.01,t=43).下斜肌后徙前转位术治疗组与下斜肌后徙术治疗组相比存在明显统计学意义(P＜0.01,t=32).所有术眼下眼睑术后存在不同程度的局部隆起.非手术眼术后睑裂无明显变化,统计结果无意义.28例患者中,术后2周22例矫正良好、5例好转、1例无效.结论 下斜肌后徙和下斜肌后徙前转位术,术后睑裂有不同程度的变小,而下斜肌后徙前转位术组较下斜肌后徙术组变小得更为明显.
目的 觀察下斜肌後徙和下斜肌後徙前轉位術術後瞼裂的變化,瞭解兩種術式對瞼裂的影響.方法 記錄18隻眼下斜肌後徙術和16隻眼下斜肌後徙前轉位術患眼手術前後瞼裂的情況,併對各組數據進行分析,統計結果用x+s錶示.結果 下斜肌後徙術治療的18隻眼,術後瞼裂變小(0.77±0.43)mm,與術前相比有顯著統計學意義(P＜0.01,t=6.19).下斜肌後徙前轉位術治療的16隻眼,術後瞼裂變小(1.3±0.26)mm,與術前相比有顯著統計學意義(P＜0.01,t=43).下斜肌後徙前轉位術治療組與下斜肌後徙術治療組相比存在明顯統計學意義(P＜0.01,t=32).所有術眼下眼瞼術後存在不同程度的跼部隆起.非手術眼術後瞼裂無明顯變化,統計結果無意義.28例患者中,術後2週22例矯正良好、5例好轉、1例無效.結論 下斜肌後徙和下斜肌後徙前轉位術,術後瞼裂有不同程度的變小,而下斜肌後徙前轉位術組較下斜肌後徙術組變小得更為明顯.
목적 관찰하사기후사화하사기후사전전위술술후검렬적변화,료해량충술식대검렬적영향.방법 기록18지안하사기후사술화16지안하사기후사전전위술환안수술전후검렬적정황,병대각조수거진행분석,통계결과용x+s표시.결과 하사기후사술치료적18지안,술후검렬변소(0.77±0.43)mm,여술전상비유현저통계학의의(P＜0.01,t=6.19).하사기후사전전위술치료적16지안,술후검렬변소(1.3±0.26)mm,여술전상비유현저통계학의의(P＜0.01,t=43).하사기후사전전위술치료조여하사기후사술치료조상비존재명현통계학의의(P＜0.01,t=32).소유술안하안검술후존재불동정도적국부륭기.비수술안술후검렬무명현변화,통계결과무의의.28례환자중,술후2주22례교정량호、5례호전、1례무효.결론 하사기후사화하사기후사전전위술,술후검렬유불동정도적변소,이하사기후사전전위술조교하사기후사술조변소득경위명현.
Objective To observe the effect and the change of the palpebral fissure after recession and anterior transposition of the inferior oblique muscle.Methods To record the preoperative and postoperative situation of the palpebral fissure in the 18 eyes recession and 16 eyes anterior transposition of the inferior oblique muscle,then the data was statistics analyzed.Results The narrowing of the palpebral fissure after surgery (mean+ SD)was 0.77±0.43 mm in the 18 eyes in the recession group,?1.3±0.26 mm in the 16 eyes in the anterior transposition group.The differences were statistically significant between the preoperation and the postoperation of the recession group(P＜0.01,t=6.19)and the anterior transposition group(P＜0.01,t=43),then this difference was statistically significant between the two groups(P＜0.01,t=32).The bulging of the lower eyelid was found in all ease after surgery.However,it was not change on the palpebral fissure of all non-surgical eye after surgery,the difference was not statistically significant.The 28 cases of patients were 78.57 percent effective two weeks after surgery.Conclusions Recession and anterior transposition of the inferior oblique muscle cause significant narrowing of the palpebral fissure as a sole procedure.It was more obviously in anterior transposition group than that of recession group.
