| 张晖1 唐宁2△ 李燕利1 李彩云1 陈宁宁1.斜视矫正手术对双眼视觉功能影响的临床研究[J].,2014,14(5):895-898 |
| 斜视矫正手术对双眼视觉功能影响的临床研究 |
| Clinical study on the Effect of Strabismus Surgeryon the Binocular Visual Function |
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| DOI： |
| 中文关键词: 斜视 手术治疗 双眼视觉功能 |
| 英文关键词: Strabismus Surgery treatment Binocular vision function |
| 基金项目: |
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| 中文摘要: |
| 摘要目的：探讨斜视矫正手术对双眼视觉功能的影响。方法：将收集的85 例斜视患者根据斜视类型分组，共同性外斜视组51
例，占60.00%；共同性内斜视组16 例，占18.82%。麻痹性斜视组13 例，占15.30%，特殊类型斜视组5例，占5.88%。同视机检查并
记录患者术前及术后双眼视功能情况。结果：外斜视手术方式多选用单眼外直肌后徙+内直肌缩短术，内斜视手术主要选用双眼
内直肌后徙术，上斜肌麻痹多行患眼下斜肌适量后徙或转位术，麻痹性内斜和外斜手术方式为患眼水平肌后徙联合缩短术，外斜
V 征手术方式为双眼外直肌后徙联合上移半个肌腱，伴有斜肌亢进者需同时行斜肌减弱术，固定性内斜1 例手术方式为患眼内
直肌断键+直肌联结术。85 例患者术后正位73 例(85.89%)，双眼视觉功能手术前后比较有显著性差异（P<0.05)，术后较术前可见
明显改善。结论：斜视矫正手术可促进双眼视觉功能的恢复，尤其是对于学龄前儿童效果更明显。 |
| 英文摘要: |
| ABSTRACT Objective:To explore the effect of Strabismus surgery on the binocular visual function. Methods:85 cases of
strabismus patients were selected, according to the strabismus type group, there were divided into the concomitant exotropia group of 51
cases, accounting for 60.00%, Concomitant esotropia group of 16 cases, accounting for 18.82%, Paralytic strabismus group of 13 cases,
accounting for 15.30%, special type strabismus group 5 cases, accounting for 5.88%. Synoptophore examination was used to detect the
preoperative and postoperative binocular visual function. Results:Exotropia surgery way much choose monocular lateral rectus 3 + after
medial rectus shortening operation. Esotropia operation main choose eyes medial rectus muscle cell after operation. Superior oblique
palsy do more with the oblique muscle after apply 3 or inversion technique. Paralytic internal bevel and external oblique surgery way eye
level material after muscle cell joint shorten operation. External oblique V sign operation method for eyes lateral rectus 3 after joint up
half a tendon, accompanied by oblique muscle hyperthyroid shall also line oblique muscle abate technique. Conserve internal bevel 1
cases of surgical methods material intraocular rectus off key + rectus coupling technique. Of the 85 patients, 73 cases got right position of
eyes (85.89%), the postoperative binocular vision function was significantly improved than that preoperation (P<0.05).
Conclusion:Strabismus corrective surgery for binocular vision function recovery have promote role, especially for preschool children effect more
apparent. |
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