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斜视矫正手术对双眼视觉功能影响的临床研究
引用本文:张晖,唐宁,李燕利,李彩云,陈宁宁.斜视矫正手术对双眼视觉功能影响的临床研究[J].现代生物医学进展,2014,14(5):895-898.
作者姓名:张晖  唐宁  李燕利  李彩云  陈宁宁
作者单位:[1]石河子大学医学院,新疆石河子832000 [2]石河子大学医学院第一附属医院眼科,新疆石河子832000
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(P0.05),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。

关 键 词:斜视  手术治疗  双眼视觉功能

Clinical study on the Effect of Strabismus Surgery on the Binocular Visual Function
ZHANG Hui,TANG Ning,LI Yan-li,LI Cai-yun,CHEN Ning-ning.Clinical study on the Effect of Strabismus Surgery on the Binocular Visual Function[J].Progress in Modern Biomedicine,2014,14(5):895-898.
Authors:ZHANG Hui  TANG Ning  LI Yan-li  LI Cai-yun  CHEN Ning-ning
Institution:1 Shihezi University School of Medicine , Shihezi, Xinjiang, 832000, China ; 2 Department of Ophthalmology, the First AflTliated Hospital of Shihezi University School , Shihezi, Xinjiang, 832000, China)
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 l cases of surgical methods material intraocular rectus offkey + 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). Conclusions: Strabismus corrective surgery for binocular vision function recovery have promote role, especially for preschool children effect more apparent.
Keywords:Strabismus  Surgery treatment  Binocular vision function
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