探讨健眼手术治疗知觉性外斜视的临床效果观察.docVIP

精品论文 参考文献 探讨健眼手术治疗知觉性外斜视的临床效果观察 黑龙江省牡丹江绥芬河市人民医院 157399 【摘 要】目的 研究分析健眼手术治疗知觉性外斜视的矫正效果。方法 此次研究的对象是选取60例患者分两组行健眼（外直肌后徙术和/或内直肌缩短术）及斜视眼手术（外直肌超常量后徙联合内直肌缩短术）矫正斜视。将其临床资料进行回顾性分析，并比较术前术后眼位矫正效果。健眼手术组平均手术量11.39 mm，手术均为1 次完成。斜位眼手术组平均手术量19.17 mm。结果 该组采用两种手术方法分别对60例知觉性外斜视患者进行治疗，健眼手术组根据三井幸彦对主眼的手术量按（斜角divide;3）mm 计算，斜角gt;15deg;分二份，健眼手术矫正知觉性外斜视，手术量明显低于仅斜眼手术组，疗效优于斜视眼手术组。结论 健眼手术是矫正知觉性外斜视的有效手术方式。 【关键词】知觉性外斜视；健眼；非主导眼；眼外肌 Abstract：Objective To study the effect of eye surgery in the treatment of perceptual strabismus.Method the study object is to select 60 cases were divided into two groups of Xingjian eye（lateral rectus recession surgery and / or rectus shortening）and strabismus surgery（rectus supernormal recession with rectus shortening）strabismus.The clinical data were retrospectively analyzed，and the correction effect of the preoperative and postoperative patients were compared.The average operation amount was 11.39 mm，and the operation was 1 times.The mean operative rate of oblique eye surgery group was 19.17 mm.Results the group with two surgical methods respectively for 60 cases know awareness exotropia patients were treated，the health eye operation group according to the Mitsui Yukihiko antimagic eye of the amount of surgery（oblique 83019 3）mm calculation，angle less than 15 degree points two according to，the healthy eye surgery correction of sensory exotropia，surgical volume was significantly lower than that of only strabismus surgery group，curative effect is better than that of strabismus eye surgery group.Conclusion eye surgery is an effective surgical method for correction of perceptual strabismus. Key words：perceptual strabismus；eye health；non dominant eye；ocular muscles 由于婴幼儿早期单眼视力发育障碍，或因发育过程中、成人后外伤眼病导致视力严重受损或失明，都可能发生知觉性外斜视，前者是因辐辏反射尚未发育而引起的，后者则是因辐辏功能减弱而发生，均可手术纠正。现结合该院在2013年1月—2014年5月之间的60例知觉性外斜视患者的实际情况，并且对该类型的手术进行深入的分析，研究发现在健眼进行手术治疗效果明显，并且手术次数和手术量相比斜眼手术来说都少[1]，现报道如下。 1 资料与方法 1.1 一般资料 随机选取该科知觉性外斜视患者的60个案例进行深入分析，随机编排为两组，其中的健眼手术有30例，年龄分布在9～42岁。差异无统计学意义，Pgt;0.05