儿童部分调节性内斜视手术时机的选择及疗效观察

目的：分析儿童部分调节性内斜视手术时机的选择和疗效观察,为临床治疗提供参考。方法：选取我院儿童部分调节性内斜视手术患者52例为研究对象,依照手术时机不同分为A组10例、B组25例和C组17例,A组患者发病1a内手术治疗,B组患者发病1~3a手术治疗,C组患者发病3a以上手术治疗,分析手术治疗效果。结果：〉6岁儿童术后获得立体感比例（83%）显著高于〈3岁儿童（30%）（P〈0.05）;患者术后立体视觉与患者手术时机存在明显相关性,A组（80%）和B组患者有立体感比例（76%）显著高于C组（41%）（P〈0.05）;A组（90%）、B组治疗优良率（88%）显著高于C组（71%）（P〈0.05）。...

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Bibliographic Details
Published in国际眼科杂志 Vol. 16; no. 4; pp. 791 - 792
Main Author 程娟 李俊芳
Format Journal Article
LanguageChinese
Published 714000,中国陕西省渭南市妇幼保健院眼科 2016
Subjects
手术时机
立体感
部分调节性内斜视
operation time
立体感
部分调节性内斜视
partially accommodative esotropia
stereo sense
手术时机
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Summary:目的：分析儿童部分调节性内斜视手术时机的选择和疗效观察,为临床治疗提供参考。方法：选取我院儿童部分调节性内斜视手术患者52例为研究对象,依照手术时机不同分为A组10例、B组25例和C组17例,A组患者发病1a内手术治疗,B组患者发病1~3a手术治疗,C组患者发病3a以上手术治疗,分析手术治疗效果。结果：〉6岁儿童术后获得立体感比例（83%）显著高于〈3岁儿童（30%）（P〈0.05）;患者术后立体视觉与患者手术时机存在明显相关性,A组（80%）和B组患者有立体感比例（76%）显著高于C组（41%）（P〈0.05）;A组（90%）、B组治疗优良率（88%）显著高于C组（71%）（P〈0.05）。结论：儿童部分调节性内斜视患者应待患儿6岁以后,尽早开展手术治疗,根据斜视度和裸眼视力情况决定手术量。
Bibliography:AIM：To analyze the operation time selection and effect observation of the surgery for children with partially accommodative esotropia to provide the reference for treatments.METHODS：Fifty-two children with partially accommodative esotropia received surgeries in our hospital were selected,and they were divided into group A（10 cases）,group B（25 cases） and group C（17 cases）according to operation time.The patients in group A were taken surgical treatment when the disease was diagnosed within 1a,those in group B were taken treatments within1 ~3a,while those in group C were treated over 3a.The operation efficacy was compared.RESULTS：There were 88%6 years children developed stereo vision after surgeries,which was significantly higher than those 3 years（30%,P〈 0.05）.The chance for the patients to develop stereo vision was obviousely correlated with the operation time.The rates of patients who develop stereo vision after operations were 80% in group A and 76% in group B,both of which were significantly higher than tha
ISSN:1672-5123
DOI:10.3980/j.issn.1672-5123.2016.4.56