中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
29期
92-94
,共3页
下斜肌切断术%下斜肌转位术%斜视V征%效果比较
下斜肌切斷術%下斜肌轉位術%斜視V徵%效果比較
하사기절단술%하사기전위술%사시V정%효과비교
Disinsertion of the inferior oblique muscle%Anterior transposition of the inferior oblique muscle%V-pattern strabismus%Effect comparison
目的：对比下斜肌切断术与下斜肌转位术在斜视V征临床治疗中的作用。方法选取本院自2012年10月~2014年10月期间所收治的斜视V征患者162例，按照数字表法将其随机分为A组和B组，每组各81例。 A组患者采用下斜肌切断术治疗，B组患者采用下斜肌转位术治疗，水平斜视均采用手术内外直肌后退和(或)缩短治疗，对比分析两组患者下斜肌功能的恢复情况及术后不良反应的发生情况。结果 A组患者临床治疗总有效率为88.9%，B组患者临床治疗总有效率为91.4%，两组比较差异无统计学意义(χ2=2.634，P>0.05)。A组患者下斜肌功能恢复优良率为86.4%，B组患者下斜肌功能恢复优良率为88.9%，两组比较差异无统计学意义(χ2=2.831，P>0.05)。 B组患者不良反应发生率(6.2%)明显低于A组(22.2%)，差异有统计学意义(P<0.05)。结论下斜肌切断术与下斜肌转位术都能够很好的治疗斜视V征的效果，恢复患者下斜肌功能，但相比而言，下斜肌转位术术后不良反应少，值得临床推广。
目的：對比下斜肌切斷術與下斜肌轉位術在斜視V徵臨床治療中的作用。方法選取本院自2012年10月~2014年10月期間所收治的斜視V徵患者162例，按照數字錶法將其隨機分為A組和B組，每組各81例。 A組患者採用下斜肌切斷術治療，B組患者採用下斜肌轉位術治療，水平斜視均採用手術內外直肌後退和(或)縮短治療，對比分析兩組患者下斜肌功能的恢複情況及術後不良反應的髮生情況。結果 A組患者臨床治療總有效率為88.9%，B組患者臨床治療總有效率為91.4%，兩組比較差異無統計學意義(χ2=2.634，P>0.05)。A組患者下斜肌功能恢複優良率為86.4%，B組患者下斜肌功能恢複優良率為88.9%，兩組比較差異無統計學意義(χ2=2.831，P>0.05)。 B組患者不良反應髮生率(6.2%)明顯低于A組(22.2%)，差異有統計學意義(P<0.05)。結論下斜肌切斷術與下斜肌轉位術都能夠很好的治療斜視V徵的效果，恢複患者下斜肌功能，但相比而言，下斜肌轉位術術後不良反應少，值得臨床推廣。
목적：대비하사기절단술여하사기전위술재사시V정림상치료중적작용。방법선취본원자2012년10월~2014년10월기간소수치적사시V정환자162례，안조수자표법장기수궤분위A조화B조，매조각81례。 A조환자채용하사기절단술치료，B조환자채용하사기전위술치료，수평사시균채용수술내외직기후퇴화(혹)축단치료，대비분석량조환자하사기공능적회복정황급술후불량반응적발생정황。결과 A조환자림상치료총유효솔위88.9%，B조환자림상치료총유효솔위91.4%，량조비교차이무통계학의의(χ2=2.634，P>0.05)。A조환자하사기공능회복우량솔위86.4%，B조환자하사기공능회복우량솔위88.9%，량조비교차이무통계학의의(χ2=2.831，P>0.05)。 B조환자불량반응발생솔(6.2%)명현저우A조(22.2%)，차이유통계학의의(P<0.05)。결론하사기절단술여하사기전위술도능구흔호적치료사시V정적효과，회복환자하사기공능，단상비이언，하사기전위술술후불량반응소，치득림상추엄。
Objective To compare the clinical therapeutic effect of disinsertion and anterior transposition (AT) of the inferior oblique muscle on treating V-pattern strabismus. Methods From October 2012 to October 2014,162 patients with V-pattern strabismus admitted into our hospital were selected as research objects.According to random number table,they were evenly divided into group A and group B.In the group A,disinsertion of the inferior oblique muscle was applied,while in the group B,AT of the inferior oblique muscle was adopted.Horizontal strabismus was both treated by surgical internal and lateral rectus retraction and/or shortening.Functional recovery of inferior oblique muscle and oc-currence of postoperative adverse reactions in the two groups were compared and analyzed. Results In the group A,the total clinical effective rate was 88.9%,while in the group B,the rate was 91.4%.The difference of clinical therapeutic effect was not obvious with no statistical significance (χ2=2.634,P>0.05).In the group A,excellent and good rate of func-tional recovery of the inferior oblique muscle was 86.4%,while the rate in the group B was 88.9%.After comparison, there was no statistical difference (χ2=2.831,P>0.05).The incidence of adverse reactions in the group B was 6.2%,lower than that in the group A accounting for 22.2%,which displayed a statistical difference (P<0.05). Conclusion Both disinsertion and AT of the inferior oblique muscle can treat V-pattern strabismus and get recovery of function of the inferior oblique muscle.After comparison,AT of the inferior oblique muscle has less adverse reactions after surgery, which is more worthy of expansive application in clinic.
