修改稿-间歇性外斜视术后眼位回退影响因素.doc

间歇性外斜视术后眼位回退影响因素的相关性分析 王欢 柴松 刘慧杰 姜娇 摘要：目的：分析影响间歇性外斜视患者术后远期眼位回退量的相关因素。方法: 选择2012-12-17至2013-12-11在河北医科大学第二医院眼科进行手术治疗的间歇性外斜视病人65例，测量术后第一天及术后一周的眼位， 并且对52例患者进行3~12月的随访，测量眼位回退量，分析影响眼位回退的相关因素。结果：65例间歇性外斜视患者术后第一周的眼位较术后第一天的眼位已有明显回退，回退了大约1.78个PD。52例随访患者远期眼位明显回退，且眼位回退量均数为7.654±6.7574PD。其中术前有近立体视患者较无近立体视者术后远期眼位回退量大，集合不足型的患者较基本型患者术后眼位回退量大，术后第一天眼位内隐斜的患者较外隐斜的患者术后远期眼位回退量大，且发现术后第一天眼位与术后远期眼位回退量之间呈线性相关（r=0.324，P =0.019）。结论：间歇性外斜视患者手术后远期眼位回退量与术后第一天眼位、术前有无近立体视、斜视类型有关，与年龄、性别、有无家族史、发病年龄、屈光状态、眼轴长度、斜视度大小、术前有无同时视、手术麻醉方式以及不同手术方式等无关。 基金项目：河北省卫生厅指导项目 作者单位：河北省石家庄市，河北医科大学第二医院眼科(柴松，刘慧杰、姜娇为在读研究生)，050000；河北省秦皇岛市第二医院（王欢），066600； 通讯作者：柴松，Email：chai_song@ 关键字：间歇性外斜视；斜视矫正；斜视类型；近立体视；眼位回退；斜视度；斜视术后。 图书分类号：R246.82。 Abstract ：Objective：Analysis the influence factors of eye position return after surgery in patients with intermittent exotropia. Methods：To measure the eye position of 65 patients with intermittent exotropia who had received the surgery since 2012-12 to 2013-12 at first day and one week after surgery. 52 of 65 patients ware followed up for 3-13 months, the amount of the eye position return was measured and influence factors were analyzed. Results：The eye position was found returned 1.78PD at the one week after operation in the 65 patients. During the follow-up the mean amount of regression was approximately 7.654±6.7574PD in the 52 patients. The mean amount of regression in the patients preoperative who had no near stereoscopic was found less than the patients who had near stereoscopic. The patients with lack of collection type regressed more than in the patients with basic type. The eye position returned more in the patients with esophoria than in the patients with exotropia at first day after surgery. The linear relationship was found in eye position between the first day and long-term. Conclusions：The amount of eye position return in the intermittent exotropia patients was found correlated with the eye position at the first day, preoperative near stereoscopic, type of exotropia