中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
6期
750-753
,共4页
目的 探讨下斜肌断腱联合部分切除术对原在位水平斜视的影响.方法 收集2012年1月至2013年3月单纯行下斜肌断腱联合部分切除手术治疗患者61例(68只眼),其中54例患者行单侧手术,7例行双侧手术.术后随访3～12个月,测量术前、术后水平斜视度,记录内转、外转眼数,比较手术前后斜视度变化,统计手术前后变化量与术前斜视度的关系.结果 (1)手术前后视近水平斜视度变化:术后发生内转53只眼(53/68,77.94％),内转度数3～25△,平均(6.58±4.05)△,手术前后水平斜视度比较,差异具有统计学意义(t =4.945,P＜0.001).发生外转9只眼(9/68,13.24％),外转度数2～5△,平均(3.71±0.97)△,手术前后水平斜视度比较,差异无统计学意义(t =1.906,P=0.093).手术前后眼位无变化6只眼(6/68,8.82％).(2)手术前后视远水平斜视度变化:术后发生内转50只眼(50/68,73.53％),内转度数2～20△,平均(6.34±3.25)△,手术前后水平斜视度比较,差异具有统计学意义(t =4.911,P＜0.001).发生外转12只眼(12/68,17.65％),外转度数1～5△,平均(2.33±1.57)△,手术前后水平斜视度比较,差异无统计学意义(t=1.798,P=0.100).手术前后眼位无变化6只眼(6/68,8.82％).(3)水平斜视度变化量与术前水平斜视度大小呈正相关(r1=0.519,P＜0.001;r2=0.400,P2=0.002).结论 单纯行下斜肌断腱联合部分切除术可影响原在位水平斜视度,且术前水平斜视度越大,术后水平斜视度变化越明显.
目的 探討下斜肌斷腱聯閤部分切除術對原在位水平斜視的影響.方法 收集2012年1月至2013年3月單純行下斜肌斷腱聯閤部分切除手術治療患者61例(68隻眼),其中54例患者行單側手術,7例行雙側手術.術後隨訪3～12箇月,測量術前、術後水平斜視度,記錄內轉、外轉眼數,比較手術前後斜視度變化,統計手術前後變化量與術前斜視度的關繫.結果 (1)手術前後視近水平斜視度變化:術後髮生內轉53隻眼(53/68,77.94％),內轉度數3～25△,平均(6.58±4.05)△,手術前後水平斜視度比較,差異具有統計學意義(t =4.945,P＜0.001).髮生外轉9隻眼(9/68,13.24％),外轉度數2～5△,平均(3.71±0.97)△,手術前後水平斜視度比較,差異無統計學意義(t =1.906,P=0.093).手術前後眼位無變化6隻眼(6/68,8.82％).(2)手術前後視遠水平斜視度變化:術後髮生內轉50隻眼(50/68,73.53％),內轉度數2～20△,平均(6.34±3.25)△,手術前後水平斜視度比較,差異具有統計學意義(t =4.911,P＜0.001).髮生外轉12隻眼(12/68,17.65％),外轉度數1～5△,平均(2.33±1.57)△,手術前後水平斜視度比較,差異無統計學意義(t=1.798,P=0.100).手術前後眼位無變化6隻眼(6/68,8.82％).(3)水平斜視度變化量與術前水平斜視度大小呈正相關(r1=0.519,P＜0.001;r2=0.400,P2=0.002).結論 單純行下斜肌斷腱聯閤部分切除術可影響原在位水平斜視度,且術前水平斜視度越大,術後水平斜視度變化越明顯.
목적 탐토하사기단건연합부분절제술대원재위수평사시적영향.방법 수집2012년1월지2013년3월단순행하사기단건연합부분절제수술치료환자61례(68지안),기중54례환자행단측수술,7례행쌍측수술.술후수방3～12개월,측량술전、술후수평사시도,기록내전、외전안수,비교수술전후사시도변화,통계수술전후변화량여술전사시도적관계.결과 (1)수술전후시근수평사시도변화:술후발생내전53지안(53/68,77.94％),내전도수3～25△,평균(6.58±4.05)△,수술전후수평사시도비교,차이구유통계학의의(t =4.945,P＜0.001).발생외전9지안(9/68,13.24％),외전도수2～5△,평균(3.71±0.97)△,수술전후수평사시도비교,차이무통계학의의(t =1.906,P=0.093).수술전후안위무변화6지안(6/68,8.82％).(2)수술전후시원수평사시도변화:술후발생내전50지안(50/68,73.53％),내전도수2～20△,평균(6.34±3.25)△,수술전후수평사시도비교,차이구유통계학의의(t =4.911,P＜0.001).발생외전12지안(12/68,17.65％),외전도수1～5△,평균(2.33±1.57)△,수술전후수평사시도비교,차이무통계학의의(t=1.798,P=0.100).수술전후안위무변화6지안(6/68,8.82％).(3)수평사시도변화량여술전수평사시도대소정정상관(r1=0.519,P＜0.001;r2=0.400,P2=0.002).결론 단순행하사기단건연합부분절제술가영향원재위수평사시도,차술전수평사시도월대,술후수평사시도변화월명현.
Objective To evaluate the effect of the inferior oblique muscle tenotomy combined with myectomy on horizontal deviations in primary position.Methods From January 2012 to March 2013,6l cases (68 eyes) underwent tenotomy combines with myectomy of inferior oblique muscles as the sole without medial muscles surgery.Of the 61 patients,54 had unilateral inferior oblique muscle surgery,and then 7 had bilateral surgeries.Followed up for three to twelve months,and investigated the changes of horizontal deviations with the primary position after procedures as well as the relationship between the changes and preoperative horizontal deviations.Results 1.The changes angle of horizontal near deviation:There were 53 eyes (53/68,77.94％) esoshift after procedures,changed 3～25 △,(6.58±4.05)△,The comparison of angle of strabismus showed significant difference pre-and post-operation (t =4.945,P ＜0.001).Nine eyes (9/68,13.24％) exoshift 2～5 △,(3.71±0.97) △,showed no difference pre-and post-operation (t =1.906,P =0.093).Six eyes (6/68,8.82％) had no alteration of the deviation in primary position.2.The changes angle of horizontal distance deviation:There were 50 eyes (50/68,73.53％) esoshift,changed 2～20△,(6.34±3.25)△,The comparison showed significant difference pre-and post-operation (t =4.911,P ＜0.001).There were 12 eyes (12/68,17.65％) exoshift 1～5△,(2.33 ±1.57)△,showed no difference pre-and post-operation (t =1.798,P =0.100).Six eyes (6/68,8.82％) had no alteration of the deviation in primary position.3.There was positive correlation between the change and preoperative horizontal deviations (r 1＝0.519,P 1＜0.001; r 2=0.400,P 2=0.002).Conclusions The inferior oblique muscle tenotomy combined with myectomy can affect the horizontal deviations in primary position.
