摘要
目的探讨局麻下术中调整缝线技术在斜视手术中的应用。方法回顾性系列病例研究。选取2008年1月至2011年12月在河南省郑州市第二人民医院眼科行斜视校正术的水平斜视患者共127例,全部手术于局麻下进行,术中全部采用调整缝线。术后连续随访6～24个月,平均随访时间16个月,127例患者中,男59例,女68例;年龄最小10岁3个月,最大62岁,平均年龄(28.7±11.6)岁。其中外斜视85例,内斜视42例;初次手术者118例,二次手术者9例;手术前斜视度:外斜视19Δ～90Δ,平均52.1Δ;内斜视17Δ～56Δ,平均28.3Δ。结果术后1周、1个月、3个月、6个月的手术成功率分别为93.7%(119/127)、91.3%(116/127)、87.4%(111/127)、85.8%(109/127)。结论局麻下术中调整缝线斜视手术是一个简便易行,安全有效的方法。手术成功率高,术后早期眼位矫正满意,远期效果较好,可有效降低斜视手术过矫、欠矫和二次手术率。
Objective To evaluate the intraoperative adjustment strabismus surgery with adjustable suture under topical anesthesia. Methods It was retrospective case series study. Medical records of the 127 patients who had intraoperative adjustment surgery under topical anesthesia for horizontal strabismus in Zhengzhou Second People's hospital from 2008 to 2011 were analyzed retrospectively. During the 127 patients,85 patients had exotropia,42 had esotropia. 6 to 24 months postoperative follow-up were completed and the mean follow-up period was 16 months. Results The success rates were 93. 7%(119/127) at 1 week,91. 3%(116/127) at 1 month,87. 4%(111/127) at 3 months and 85. 8%(109/127) at 6 months. Conclusions Intraoperative adjustment strabismus surgery under topical anesthesia is simple,safe and effective. The postoperative procedure which has high suscess rate. The rate of overcorrection undercorrection and reoperation decreased.
出处
《中华眼科医学杂志（电子版）》
2012年第2期24-26,共4页
Chinese Journal of Ophthalmologic Medicine(Electronic Edition)
关键词
调整缝线
斜视
局麻
术中
Adjustable suture
Strabismus
Topical anesthesia
Intraoperative
