中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
9期
673-675
,共3页
儿童%眼部手术%弱视%综合治疗%疗效
兒童%眼部手術%弱視%綜閤治療%療效
인동%안부수술%약시%종합치료%료효
Children%Surgery ocular%Amblyopia%Therapy comprehensive%Efficacy
目的 评价儿童眼部手术后弱视综合治疗的效果.方法 回顾性分析224例(248眼)经综合治疗并随访2年以上的儿童眼部手术后弱视.按弱视成因分组:斜视177眼、上睑下垂24眼和白内障47眼;按弱视开始治疗的年龄分组:3～6岁95眼、7～9岁86眼、10 ～12岁67眼;按弱视程度分组:轻度弱视75眼、中度弱视81眼、重度弱视92眼.结果 248眼儿童眼部手术后的弱视,治愈134眼(54.03％),好转40眼(16.13％),无效74眼(29.84％),有效率为70.16％.斜视术后弱视治疗效果最好,上睑下垂者次之,二者之间差异无统计学意义(x2=6.10,P＞0.05),但二者与白内障术后弱视治愈率之间差异均有统计学意义(x2=11.23,P＜0.05x2 =19.76,P＜0.01);弱视治疗年龄越小,效果越好,三组之间差异有统计学意义(x2=29.52,x2=18.23,x2 =45.58,P＜0.0l);弱视程度越轻,效果越好,三组之间差异有统计学意义(x2=20.12,x2=17.23,P＜0.01;x2=35.48,P＜0.01).结论 儿童眼部手术后的弱视尽早采用个体化综合治疗,方可取得较好效果.
目的 評價兒童眼部手術後弱視綜閤治療的效果.方法 迴顧性分析224例(248眼)經綜閤治療併隨訪2年以上的兒童眼部手術後弱視.按弱視成因分組:斜視177眼、上瞼下垂24眼和白內障47眼;按弱視開始治療的年齡分組:3～6歲95眼、7～9歲86眼、10 ～12歲67眼;按弱視程度分組:輕度弱視75眼、中度弱視81眼、重度弱視92眼.結果 248眼兒童眼部手術後的弱視,治愈134眼(54.03％),好轉40眼(16.13％),無效74眼(29.84％),有效率為70.16％.斜視術後弱視治療效果最好,上瞼下垂者次之,二者之間差異無統計學意義(x2=6.10,P＞0.05),但二者與白內障術後弱視治愈率之間差異均有統計學意義(x2=11.23,P＜0.05x2 =19.76,P＜0.01);弱視治療年齡越小,效果越好,三組之間差異有統計學意義(x2=29.52,x2=18.23,x2 =45.58,P＜0.0l);弱視程度越輕,效果越好,三組之間差異有統計學意義(x2=20.12,x2=17.23,P＜0.01;x2=35.48,P＜0.01).結論 兒童眼部手術後的弱視儘早採用箇體化綜閤治療,方可取得較好效果.
목적 평개인동안부수술후약시종합치료적효과.방법 회고성분석224례(248안)경종합치료병수방2년이상적인동안부수술후약시.안약시성인분조:사시177안、상검하수24안화백내장47안;안약시개시치료적년령분조:3～6세95안、7～9세86안、10 ～12세67안;안약시정도분조:경도약시75안、중도약시81안、중도약시92안.결과 248안인동안부수술후적약시,치유134안(54.03％),호전40안(16.13％),무효74안(29.84％),유효솔위70.16％.사시술후약시치료효과최호,상검하수자차지,이자지간차이무통계학의의(x2=6.10,P＞0.05),단이자여백내장술후약시치유솔지간차이균유통계학의의(x2=11.23,P＜0.05x2 =19.76,P＜0.01);약시치료년령월소,효과월호,삼조지간차이유통계학의의(x2=29.52,x2=18.23,x2 =45.58,P＜0.0l);약시정도월경,효과월호,삼조지간차이유통계학의의(x2=20.12,x2=17.23,P＜0.01;x2=35.48,P＜0.01).결론 인동안부수술후적약시진조채용개체화종합치료,방가취득교호효과.
Objective To evaluate the efficacy of children' s amblyopia treated with comprehensive therapy after ocular surgery.Methods Retrospective analyzes 224 cases (248 eyes) of amblyopic children with comprehensive therapy after ocular surgery,which followed up for more than two years.According to causes,177 eyes were strabismus,24 eyes were ptosis,and 47 eyes were cataract.According to age of treatment,95 eyes were in 3 to 6 years old,86 eyes were in 7 to 9 years old,and 67 eyes were in 10 to 12 years old.According to degree,75 eyes were mild,81 eyes were medium and 92 eyes were serious.Results Among 248 eyes of children with amblyopia after ocular surgery,134 eyes were cured (54.03％),40 eyes were improved (16.13％),74 eyes were ineffective (29.84％) ; the effective rate was 70.16％.The efficacy of amblyopic treatment after strabismic surgery was the best,ptosis came to the second; statistical significance did not exist between the two (x2 =6.10,P ＞ 0.05) but existed with cataract surgery (x2 =11.23,P＜0.05; x2 =19.76,P＜0.01).The younger of the amblyopic children,the better came the efficacy ; and there were statistical significance between three groups (x2 =29.52,P ＜ 0.01 ; x2 =18.23,P ＜ 0.01 ; x2 =45.58,P ＜0.01).The milder of the amblyopic degree,the better came the efficacy; and there were statistical significance between three groups (x2 =20.12,P ＜ 0.01 ; x2 =17.23,P ＜ 0.01 ; x2 =35.48,P ＜ 0.01).Conclusion Children with amblyopia after ocular surgery should adopt individualized comprehensive therapy as soon as possible in order to get satisfied efficacy.
