[1]李 艳,王晓莉,蔡方荣,等.压贴三棱镜联合手术矫正共同性内斜视疗效观察[J].中国美容医学,2024,(1):40-44.[doi:10.15909/j.cnki.cn61-1347/r.006098]
　LI Yan,WANG Xiaoli,CAI Fangrong,et al.Observation of Curative Effect Pressing Triple Prism Combined with Surgery on Concomitant Esotropia[J].Medical Aesthetics and Beauty,2024,(1):40-44.[doi:10.15909/j.cnki.cn61-1347/r.006098]
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压贴三棱镜联合手术矫正共同性内斜视疗效观察()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年1期
页码:
40-44
栏目:
出版日期:
2024-01-10

文章信息/Info

Title:
Observation of Curative Effect Pressing Triple Prism Combined with Surgery on Concomitant Esotropia
文章编号:
1008-6455（2024）01-0040-05
作者:
李 艳; 王晓莉; 蔡方荣; 柏丽娜
(简阳市人民医院眼科 四川 简阳 641400 )
Author(s):
LI Yan; WANG Xiaoli; CAI Fangrong; BAI Lina
(Department of Ophthalmology,Jianyang People’s Hospital,Jianyang 641400,Sichuan,China)
关键词:
共同性内斜视; 矫正; 压贴三棱镜; 视功能; 融合功能; 临床疗效
Keywords:
concomitant esotropia;  correction;  pressing triple prism;  visual function;  fusion function;  clinical curative eff ect
分类号:
R779.6
DOI:
10.15909/j.cnki.cn61-1347/r.006098
文献标志码:
A
摘要:
目的：探讨压贴三棱镜联合手术治疗共同性内斜视矫正的效果。方法：回顾性分析笔者医院2018年5月-2020年 6 月60例共同性内斜视患儿临床资料，将给予压贴三棱镜并接受斜视矫正手术治疗的患儿纳入A组，将采用单纯手术治 疗的患儿29例纳入B组，比较两组矫正效果、双眼视功能以及眼球屈光度。结果：A组术后3个月正位率93.55%高于B组 68.97% （P＜0.05）；两组治疗后同时视功能比较，差异无统计学意义（P＞0.05）；A组术后1个月、术后3个月有融合 功能比例分别为64.52%、74.19%高于B组37.93%、48.28%（P＜0.05）；A组术后7 d、术后1个月、术后3个月平均融合 范围大于B组（P＜0.05）；A组术后1个月、术后3个月近立体视功能优于B组（P＜0.05）；两组治疗后柱镜屈光度、球镜屈 光度、散光值、散光轴位比较，差异无统计学意义（P＞0.05）。结论：共同性内斜视矫正术前联合使用压贴三棱镜提高了 术后正位率，增强了术后融合功能和立体视功能恢复效果，不影响眼球屈光度。
Abstract:
Objective To explore the correction eff ect of pressing triple prism combined with surgery on concomitant esotropia. Methods A retrospective analysis was performed on the clinical data of 60 children with concomitant esotropia in the author’s hospital between May 2018 and June 2020. Children who were treated with A pressed prism and underwent corrective surgery for strabismus were included in group A, while other 29 children only treated with surgery were included in group B. The correction effect, binocular vision function and eyeball diopter were compared between the two groups. Results The orthophoria rate in group A was higher than that in group B at 3 months after surgery (93.55% vs 72.41%) (P ＜0.05). After treatment, difference in visual function between the two groups was not statistically significant (P＞0.05). At 1 month and 3 months after surgery,proportions of fusion function in group Awere 64.52% and 74.19%, higher than 37.93% and 48.28% in group B (P ＜0.05). At 7 d, 1 month and 3 months after surgery, average fusion range in group A was larger than that in group B (P＜0.05). At 1 month and 3 months after surgery, stereopsis function in group A was better than that in group B(P＜0.05). After treatment, diff erence in cylinderdiopter, spherical diopter, astigmatism value and astigmatism axis between the two groups was not statistically signifi cant (P ＞0.05). Conclusion The pressing triple prism combined with correction surgery for concomitant esotropia can improvepostoperative orthophoria rate, enhance postoperative recovery eff ects off usion function and stereopsis function, without aff ecting eyeball diopter.

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更新日期/Last Update: 2024-01-23