中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2015年
4期
197-200
,共4页
姬周朵%余新平%袁思奇%余焕云%许梅萍
姬週朵%餘新平%袁思奇%餘煥雲%許梅萍
희주타%여신평%원사기%여환운%허매평
知觉障碍%斜视手术%治疗效果%生存质量
知覺障礙%斜視手術%治療效果%生存質量
지각장애%사시수술%치료효과%생존질량
Perceptual disorders%Corrective surgery%Therapy outcome%Quality of life
目的 研究伴有知觉障碍的成人斜视患者斜视矫正术后的远期效果,探讨术后不同时间的眼位变化、成功率及手术效果的影响因素.方法 回顾性病例对照研究.分析72例伴有单眼或双眼知觉障碍(BCVA＜0.3)的成年斜视患者(知觉障碍组)斜视矫正术后远期的眼位、双眼视功能、生存质量状况,并与同期手术的79例无明显知觉障碍的患者(对照组)进行对照.数据采用独立样本t检验、x2检验、秩和检验、logisitic回归分析.结果 术后2年内,对照组和知觉障碍组的成功率差异无统计学意义(x2=1.97,P＞0.05);末次随诊时对照组66例(84％)成功,知觉障碍组48例(67％)成功,2组成功率差异有统计学意义(x2=6.14,P＜0.05).24例不成功的知觉障碍患者中,22例欠矫,2例过矫.知觉障碍组术后3例有部分立体视功能;对照组术后17例有正常立体视功能,17例有部分立体视功能;2组术后立体视功能水平差异有统计学意义(x2=31.34,P＜0.01);知觉障碍组术后生存质量评分(社会心理得分、视觉功能得分、总分)显著低于对照组(t=-3.30、-3.72、-3.77,P＜0.01).知觉障碍组患者术后成功率与年龄、偏斜程度和随诊时间无明显相关性.结论 约有2/3的伴有知觉障碍的成人斜视患者术后远期效果成功,其手术后远期的眼位、双眼视功能和生存质量水平均低于无明显知觉障碍者.
目的 研究伴有知覺障礙的成人斜視患者斜視矯正術後的遠期效果,探討術後不同時間的眼位變化、成功率及手術效果的影響因素.方法 迴顧性病例對照研究.分析72例伴有單眼或雙眼知覺障礙(BCVA＜0.3)的成年斜視患者(知覺障礙組)斜視矯正術後遠期的眼位、雙眼視功能、生存質量狀況,併與同期手術的79例無明顯知覺障礙的患者(對照組)進行對照.數據採用獨立樣本t檢驗、x2檢驗、秩和檢驗、logisitic迴歸分析.結果 術後2年內,對照組和知覺障礙組的成功率差異無統計學意義(x2=1.97,P＞0.05);末次隨診時對照組66例(84％)成功,知覺障礙組48例(67％)成功,2組成功率差異有統計學意義(x2=6.14,P＜0.05).24例不成功的知覺障礙患者中,22例欠矯,2例過矯.知覺障礙組術後3例有部分立體視功能;對照組術後17例有正常立體視功能,17例有部分立體視功能;2組術後立體視功能水平差異有統計學意義(x2=31.34,P＜0.01);知覺障礙組術後生存質量評分(社會心理得分、視覺功能得分、總分)顯著低于對照組(t=-3.30、-3.72、-3.77,P＜0.01).知覺障礙組患者術後成功率與年齡、偏斜程度和隨診時間無明顯相關性.結論 約有2/3的伴有知覺障礙的成人斜視患者術後遠期效果成功,其手術後遠期的眼位、雙眼視功能和生存質量水平均低于無明顯知覺障礙者.
목적 연구반유지각장애적성인사시환자사시교정술후적원기효과,탐토술후불동시간적안위변화、성공솔급수술효과적영향인소.방법 회고성병례대조연구.분석72례반유단안혹쌍안지각장애(BCVA＜0.3)적성년사시환자(지각장애조)사시교정술후원기적안위、쌍안시공능、생존질량상황,병여동기수술적79례무명현지각장애적환자(대조조)진행대조.수거채용독립양본t검험、x2검험、질화검험、logisitic회귀분석.결과 술후2년내,대조조화지각장애조적성공솔차이무통계학의의(x2=1.97,P＞0.05);말차수진시대조조66례(84％)성공,지각장애조48례(67％)성공,2조성공솔차이유통계학의의(x2=6.14,P＜0.05).24례불성공적지각장애환자중,22례흠교,2례과교.지각장애조술후3례유부분입체시공능;대조조술후17례유정상입체시공능,17례유부분입체시공능;2조술후입체시공능수평차이유통계학의의(x2=31.34,P＜0.01);지각장애조술후생존질량평분(사회심리득분、시각공능득분、총분)현저저우대조조(t=-3.30、-3.72、-3.77,P＜0.01).지각장애조환자술후성공솔여년령、편사정도화수진시간무명현상관성.결론 약유2/3적반유지각장애적성인사시환자술후원기효과성공,기수술후원기적안위、쌍안시공능화생존질량수평균저우무명현지각장애자.
Objective To evaluate the long term effect of corrective surgery in adult strabismic patients with visual impairment;to study the stability of postoperative alignment and factors that influence it.Methods This was a retrospective clinically controlled study of the alignment,binocular vision,ocular movement and quality of life in 72 adult strabismic patients with visual impairment (BCVA less than 0.3 in one or both eyes).These patients were compared to 79 patients without visual impairment.Data were analyzed using an independent samples t test,x2 test,rank sum test and logisitic regression analysis.Results There was no significant difference in the success rate between the two groups within 2 years after surgery (x2=1.97,P＞0.05).Forty-eight (67％,48/72) and sixty-six (84％,66/79) were defined as "successful" at the last follow-up in the visually impaired group and control group,respectively.The difference was significant (x2=6.14,P＜0.05).Of the 24 patients defined as "not successful" in the visually impaired group,22 cases were under-corrected and 2 cases were over-corrected.Three patients and 34 patients achieved normal or partial stereoacuity in the visually impaired and control groups,respectively.The difference in stereoacuity between the two groups was significant (x2=31.34,P＜0.01).The scores from the quality of life questionnaire were lower in the visually impaired group than in the control group (t=-3.30,-3.72,-3.77,P＜0.01).Conclusion Approximately two in three patients with visual impairment can achieve long-term successful outcomes with corrective surgery.However,alignment stability,binocular vision and quality of life were worse in patients with visual impairment than in those without visual impairment.
