CAJ | 학술논문

目的探讨改良Andenson法治疗儿童先天性特发性眼球震颤(CIN)的手术效果.方法对2006年1月至2012年1月在河北省眼科医院就诊的56例儿童先天性特发性眼球震颤的患者采用改良Andenson法进行手术治疗,依据代偿头位的大小,首选将两眼慢相侧的一对配偶肌施行超长量后徙,观察手术的远期效果.结果术后眼位均正位,无眼球运动受限.代偿头位术前平均(28.29±5.90)°,术后平均(3.26±5.20)°;代偿头位治愈48例(85.7％),好转8例(14.3％).术后54例(96.4％)存在双眼视觉,46例(82.1％)存在立体视觉.结论采用两眼慢相侧的一对配偶肌超长量后徙,治疗存在轻中度代偿头位的儿童CIN,操作简单,创伤小,效果良好;对于存在稳定代偿头位的患者早期手术有利于视力和双眼视觉的恢复.
목적 탐토개량Andenson법치료인동선천성특발성안구진전(CIN)적수술효과.방법 대2006년1월지2012년1월재하북성안과의원취진적56례인동선천성특발성안구진전적환자채용개량Andenson법진행수술치료,의거대상두위적대소,수선장량안만상측적일대배우기시행초장량후사,관찰수술적원기효과.결과 술후안위균정위,무안구운동수한.대상두위술전평균(28.29±5.90)°,술후평균(3.26±5.20)°;대상두위치유48례(85.7％),호전8례(14.3％).술후54례(96.4％)존재쌍안시각,46례(82.1％)존재입체시각.결론 채용량안만상측적일대배우기초장량후사,치료존재경중도대상두위적인동CIN,조작간단,창상소,효과량호;대우존재은정대상두위적환자조기수술유리우시력화쌍안시각적회복.
Objective To explore the effect of modified Andenson procedure in the treatment of children with congenital idiopathic nystagmus.Methods Fifty-six cases of children with congenital idiopathic nystagmus patients using modified Andenson procedure were enrolled,on the basis of head posture size,one spouse muscle preferred eyes slow phase side of the implementation of supper-long amount after resettlement,to study effecting of the operation.Results Postoperative positions of eye were normal,no limitation of movement.Head posture preoperative average (28.29±5.90)°,after operation (3.26± 5.20)°; head posture cured 48 cases (85.7％),improved in 8 cases (14.3％).Of 54 patients were found to have binocular vision and 46 cases (82.1％) in patients with stereo vision.Conclusions Using a pair of long eyes spouse muscle slow phase side of recession,for the existence of mild to moderate head posture in children with CIN,simple operation,less trauma and good effect; for the existence of stable head posture in patients with early operation were contribute to the vision acuity and the recovery of binocular vision.