CAJ | 학술논문

目的观察间歇性外斜视手术后双眼单视功能的变化情况.方法对84例间歇性外斜视患儿分为有双眼视功能组(43例)和无双眼视功能组(41例),根据斜视度行斜视矫正手术,手术前后分别检测Ⅰ级视功能、Ⅱ级视功能和Ⅲ级视功能(Titmus立体视觉图).对手术前后的结果进行统计学分析.结果 84例患儿中,手术前有Ⅰ级视功能者41例,占48.80％；手术后有Ⅰ级视功能65例,占77.38％,两者比较差异有统计学意义(P＜0.05).术前具有Ⅱ级视功能者27例,占32.14％；手术后增加至65例,占77.38％,两者比较差异有统计学意义(P＜0.05).Ⅲ级视功能(Titmus立体视觉图)检测到有41例患儿手术前有不同程度的立体视,占48.80％；术后增加至68例,占80.95％,差异均有统计学意义(P＜ 0.05).结论手术治疗有助于间歇性外斜视患儿双眼视功能的重建.
목적 관찰간헐성외사시수술후쌍안단시공능적변화정황.방법 대84례간헐성외사시환인분위유쌍안시공능조(43례)화무쌍안시공능조(41례),근거사시도행사시교정수술,수술전후분별검측Ⅰ급시공능、Ⅱ급시공능화Ⅲ급시공능(Titmus입체시각도).대수술전후적결과진행통계학분석.결과 84례환인중,수술전유Ⅰ급시공능자41례,점48.80％；수술후유Ⅰ급시공능65례,점77.38％,량자비교차이유통계학의의(P＜0.05).술전구유Ⅱ급시공능자27례,점32.14％；수술후증가지65례,점77.38％,량자비교차이유통계학의의(P＜0.05).Ⅲ급시공능(Titmus입체시각도)검측도유41례환인수술전유불동정도적입체시,점48.80％；술후증가지68례,점80.95％,차이균유통계학의의(P＜ 0.05).결론 수술치료유조우간헐성외사시환인쌍안시공능적중건.
Objective To observe the change of binocular vision of patients with intermittent exotropia after surgery.Methods Binocular single vision of patients were 43 cases,no binocular vision of patients were 41 cases.Binocular single vision of both distance and near was checked in one hundred and sixty eight patients with intermittent exotropia before and after surgery.Results There were 41 patients (48.80％ ) with preoperative near stereopsis before surgery,65 patients(77.38％ ) with near stereopsis postoperative after surgery.There was significant difference between before surgery and after surgery (P ＜ 0.05 ).Rbuilding rate of near stereopsis after surgery was 80.95％,and there were 68 patients of near stereopsis after surgery.The results of the recovery of binocular vision postoperatively was as well as the stereopsis.Conclusions Surgical treatment of intermittent exotropia is very important for the reconstruction of binocular vision.