摘要
目的探索婴儿性内斜视的手术时机和手术方式。方法采用双眼内直肌5～8mm后徙的方法对所有0.5～3岁的及部分3～5岁的(集合过强型)婴儿性内斜视进行手术,采用单眼内直肌后徙加外直肌缩短的方法对3～5岁的幼儿性内斜视患者进行手术,对2组术后眼位进行比较;并把所有患儿按0.5～2岁(不含2岁)和2～5岁(含2岁)分成2个手术组进行远期立体视(术后3年)功能分析比较。结果0.5～2岁(不含2岁)组与2～5岁(含2岁)组术后正位率差异无统计学意义(P>0.05);施行双眼内直肌后徙5～8mm组和施行单眼内直肌后徙+外直肌缩短组术后正位率比较,差异无统计学意义(P>0.05);0.5～2岁组立体视发生率为40.74%,2～5岁组为12.50%,差异具有统计学意义(P<0.05)。结论双眼内直肌超长量后徙是婴儿性内斜视切实可行的手术方式之一;婴儿性内斜视应早期手术治疗,如果有可能应在0.5～2岁之间进行,可获得精细立体视觉更高的发生率。
Objective To study the timing of surgical alignment and operative approach for infantile esotropia.Methods All patients aged from 6 months to 2 years, and 3 to 5 years （strong muster type） with infantile esotropia were performed operations of bimedial rectus recession by 5-8 mm, and another group of patients aged from 3 to 5 years were perfomled medial rectus recession of single eye plus shortening lateral rectus. The position of eye was compared after two kinds of operations. Moreover, the creativity of stereopsis were compared and analyzed based on age group of 6 months to-2 years old and another group of 2 to-5 years old. Results There was no significant differences for post - operative straight matter test between two age groups, and no significant differences between two kinds of operations. Occurring test of stereopsis was 40.74% in 6 months to 2 years old group and 12.25% in 2 to 5 years old group, and the difference in these two groups was significant. Conclusion Excessive recessions of binaedial rectus is one of the feasible operations for infantile esotropia, and the operation should be perforoaed at the age of 6 months-to 2 years to achieve much higher creativity of stereopsis.
出处
《河北医药》
CAS
2008年第10期1483-1484,共2页
Hebei Medical Journal
基金
河北省科技攻关计划项目(编号:012761172)
关键词
内斜视
婴儿性
手术
双眼内直肌超常量后徙
esotropia
infantile
operation
transnormal recessions of bimedial rectus
