内直肌超常量后徙治疗婴幼儿内镍视的观察.docVIP

内直肌超常量后徙治疗婴幼儿内镍视的观察 内直肌超常量后徙治疗婴幼儿内镍视的观 察 298ChinJOphthalmolan(1Otorhinolarvngol,September2006.Vol6,No.5 内直肌超常量后徙治疗婴幼儿内镍视的观察? 安军生 【摘要】目的探索婴幼儿性内斜视的手术时机和手术方式.方法采用双眼内直肌5,8mill后徙的方 法对所有6个月3岁及部分35岁的(集合过强型)婴幼儿性内斜视患者进行手术,采用单眼内直肌后徙加 外直肌缩短的方法对另外一部分3,5岁的婴幼儿内斜视患者进行手术,两组术后眼位进行比较;并把所有患 儿按6个月,2岁和2,5岁分成两个手术组进行远期立体视(术后3年)功能分析比较.结果6个月一2岁 组较25岁组术后正位率差异无显着性意义;施行双眼内直肌后徙5—8mini组和施行单眼内直肌后徙+外直 肌缩短组术后正位率比较,差异无显着性意义;6个月,2岁组立体视发生率为40.74%,2—5岁组12.50%,立 体视觉的发生率差异具有非常显着性意义.结论1.双眼内直肌超常量后徙是婴幼儿内斜视切实可行的手术 方式之一;2.婴幼儿内斜视应早期手术治疗,如果有可能应在6个月龄一2岁之间进行,可获得精细立体视觉 更高的发生率.(中国眼耳鼻喉科杂志,2006,6:298,299) 【关键词】内斜视;婴幼儿;手术;内直肌超常量后徙 Trans~rmalRecessionsofMedialRectustoTreatCongenitalInfantileEsotropiaAnjunshe 啦.Det~lrtmentof Ophthatmology.,HospitalofOphthdmolos~ofZhanjiangrz,Zhanjiang524cl43,China. Correspondingau山or:AnJunsheng.E—mail:an2(x】89@163.con 【Abstract】nl叩 0seToexplorethetimeforsurgicalalignmentandthemethodsofoperationforthetreatmentof infantileesotropia.MethodsA1lthepatientsat6monthsto2yearsoldandpartofthepatientsat3,5yearsoldwith esotropiacollectedinthishospitalwereoperatedonforaligmnentbyrecessionsofbimedialrectusfor5—8mil1.Theother partofthepatientsat3— 5yearsoldwithesotropiawereoperatedonforalligmentbyrecessionsofsinglemedialrectusplus shortingoflateralrectus.Comparisonsofeyepositionandestablishmentofstereopsisweremadebetweenthesetwogroups. ResultsTherewasnosignificantdifferenceinoflhophoficrateafteroperationbetweenthe6monthsto2yearsoldandthe3 , 5yearsoldgroups.Nodifferenceino~hophoricratebetweenthebimedialandsinglemedialrectusrecessiongroups.111e rateofstereopsiswas40.74%inthe6nonthsto2yearsoldgroupand12.50%inthe2, 5yearsoldgroup.Conclusion ExcessiverecessionsofbimedialrectusiSafeasibleoperationforalignmentofinfantileesotropia.Infantileesotropiashouldbe operatedonasearlyaspossible.(ChinJOphthalmolandOtorhinolaryngology,2006,6:298,299) 【Keywords】esotropia;infantile;operation;transnormalrecessionsofmedialrectus 采用双眼内直肌超常量后徙治疗原发性婴幼儿内 斜视的手术方法,在国外应用较广泛,国内该内容的 研究报告较少.该研究采用双眼内直肌超常量后徙