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单眼外退-内截手术矫正间歇性外斜视效果分析
引用本文:宁玉贤,赵堪兴,钱学翰,任艳红,郝瑞,高杨.单眼外退-内截手术矫正间歇性外斜视效果分析[J].中国全科医学,2010,13(12):1298-1300.
作者姓名:宁玉贤  赵堪兴  钱学翰  任艳红  郝瑞  高杨
作者单位:天津医科大学眼科临床学院,天津市眼科医院,天津市,300020
摘    要:目的 对比分析间歇性外斜视单眼外退-内截手术效果、外退-内截各1 mm平均矫正量、视远视近矫正效果的差异. 方法 对96例间歇性外斜视患者行单眼外退-内截手术,对术后远期眼位、平均矫正量和视近视远手术效果差异进行统计学分析. 结果 功能治愈58例(60.42%),临床治愈89例(92.71%);基本型、集合不足型及外展过强型外斜视患者手术后视远视近斜视角差异较手术前视远视近斜视角差异明显减小,差异有统计学意义(P<0.05).平均矫正效果与术前斜视度呈负相关(P<0.05);平均矫正效果与手术量呈正相关(P<0.05);与手术年龄、发病年龄无相关性. 结论 间歇性外斜视单眼外退-内截手术设计应考虑术前斜视度对平均矫正量的影响,外退-内截手术可以较好的矫正远近斜视度的差异.

关 键 词:外斜视  手术    治疗效果

A Clinical Analysis of Unilateral Recession-resection Surgery in Intermittent Exotropia
NINGYu-xian,ZHAOKan-xing,QIANXue-han,etal.ClinicalCollegeofOphthalmologyTianjinMedicalUniversity,Tianjin,China.A Clinical Analysis of Unilateral Recession-resection Surgery in Intermittent Exotropia[J].Chinese General Practice,2010,13(12):1298-1300.
Authors:NINGYu-xian  ZHAOKan-xing  QIANXue-han  etalClinicalCollegeofOphthalmologyTianjinMedicalUniversity  Tianjin  China
Institution:NING+Yu-xian,ZHAO+Kan-xing,QIAN+Xue-han,et+al.Clinical+College+of+Ophthalmology+Tianjin+Medical+University,Tianjin+300020,China
Abstract:Objective To Study the unilateral recession-resection surgery(R-R)outcome,surgical dose of(R-R)1 mm,the different surgery effect between fixation far and near.Methods A retrospective study in 96 intermittent exotropia patients underwent R-R surgery,analysis the outcome;the influence factors of the dose of(R-R)1 mm;the different effect between fixation at 5 m and 33 cm.Results The functional cure ratio:58/96(60.42%);the clinical cure ratio:89/96(92.71%);The LR-MR can decrease the deviation angle difference b...
Keywords:Exotropia  Operation  Ocular  Treatment outcome
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