[1]刘艳琼,金红燕,江停停.内直肌截除联合外直肌后徙术治疗集合不足型间歇性外斜视效果观察[J].中国美容医学,2024,(1):45-48.[doi:10.15909/j.cnki.cn61-1347/r.006112]
　LIU Yanqiong,JIN Hongyan,JIANG Tingting.Effect of Internal Rectus Muscle Resection Combined with Posterior Migration of External Rectus Muscle in the Treatment of Intermittent Exotropia with Inadequate Collection[J].Medical Aesthetics and Beauty,2024,(1):45-48.[doi:10.15909/j.cnki.cn61-1347/r.006112]
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内直肌截除联合外直肌后徙术治疗集合不足型间歇性外斜视效果观察()
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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:
45-48
栏目:
出版日期:
2024-01-10

文章信息/Info

Title:
Effect of Internal Rectus Muscle Resection Combined with Posterior Migration of External Rectus Muscle in the Treatment of Intermittent Exotropia with Inadequate Collection
文章编号:
1008-6455（2024）01-0045-04
作者:
刘艳琼; 金红燕; 江停停
(攀枝花学院附属医院眼科 四川 攀枝花 617099 ）
Author(s):
LIU Yanqiong; JIN Hongyan; JIANG Tingting
(Department of Ophthalmology,Affi liated Hospital of Panzhihua University,Panzhihua 617099,Sichuan,China)
关键词:
间歇性外斜视; 集合不足型; 内直肌截除; 外直肌后徙术; 矫治效果
Keywords:
intermittent exotropia;  insuffi cient set type;  medial rectus muscle interception;  posterior migration of external rectus muscle;  therapeutic eff ect
分类号:
R779.6
DOI:
10.15909/j.cnki.cn61-1347/r.006112
文献标志码:
A
摘要:
目的：观察单眼内直肌截除术联合外直肌后徙术治疗集合不足型间歇性外斜视（Convergenceinsuficency-type intermittent exotropia,CI-IXT）矫治效果。方法：回顾性分析2018年1月-2021年1月笔者医院收治的104例CI-IXT患者的 临床资料，根据手术方式不同分为对照组（n =52）和观察组（n =52），对照组采用双眼外直肌后徙术治疗，观察组采用 单眼内直肌截除联合外直肌后徙术治疗，比较两组患者术后6个月眼位矫正效果，并统计手术前后视远度、视近度、平 均斜视度及视功能、融合功能、并发症发生率和复发率。结果：观察组术后1周、术后3个月的正位率均高于对照组，过 矫率低于对照组（P＜0.05），两组欠矫率比较，差异无统计学意义（P＞0.05）。且两组术后6个月的正位率、过矫率 及欠矫率比较，差异无统计学意义（P＞0.05）。术后6个月，两组视远度、视近度及平均斜视度均降低，且观察组视远 度、视近度及平均斜视度均显著低于对照组（P＜0.05）。术后6个月，两组无、Ⅰ级视功能阳性率均降低，Ⅲ级视功能 阳性率均升高（P＜0.05），但Ⅱ级视功能阳性率与术前比较，差异无统计学意义（P＞0.05），且术后6个月两组无、 Ⅰ级、Ⅱ级、Ⅲ级视功能阳性率比较，差异无统计学意义（P＞0.05）。术后6个月，两组融合范围、集合性融合、离散 性融合均升高（P＜0.05），但两组比较，差异无统计学意义（P＞0.05）。两组观察组并发症发生率比较，差异无统计学 意义（P＞0.05）。观察组复发率低于对照组（1.92％vs13.46％）（P＜0.05）。结论：内直肌截除联合外直肌后徙术治疗 CI-IXT 矫治效果较好，且复发率较低，值得临床推广应用。
Abstract:
Objective To observe the eff ect of monocular internal rectus muscle resection combined with posterior migration of external rectus muscle in the treatment of ensemble deficiency intermittent exotropia (CI-IXT). Methods The clinical data of 104 patients with CI-IXT admitted to the author’s hospital from January 2018 to January 2021 were retrospectively analyzed. According to diff erent surgical methods, they were divided into control group (n=52) and observation group (n=52). The control group was treated with binocular posterior rectus muscle migration, while the observation group was treated with monocular internal rectus muscle resection combined with posterior rectus muscle migration. The eye position correction eff ect was compared between the two groups at 6 months after operation. The visual distance, visual proximity, mean strabismus, visual function, fusion function, incidence of complications and recurrence rate before and after operation were statistically analyzed. Results The orthostatic rate of the observation group was higher than that of the control group at 1 week and 3 months after operation, and the overcorrection rate was lower than that of the control group (P＜0.05). There was no signifi cant difference in the undercorrection rate between the two groups (P ＞0.05). There was no significant difference in orthostatic rate, overcorrection rate and undercorrection rate between the two groups at 6 months after operation (P ＞0.05).6 months after surgery, the positive rate of grade Ⅰ visual function decreased in both groups, and the positive rate of grade Ⅲ visual function increased in both groups (P ＜0.05), but there was no statistical significance in the positive rate of grade Ⅱ visual function compared with that before surgery (P ＞0.05), and there was no statistical signifi cance in the positive rate of grade Ⅱ visual function compared with that before surgery (P ＞0.05). At 6 months after operation, the fusion range, collective fusion and discrete fusion of the two groups were increased (P＜0.05), but there was no signifi cant diff erence between the two groups (P ＞0.05). There was no signifi cant diff erence in the incidence of complications between the two groups (P ＞0.05). The recurrence rate of the observation group was lower than that of the control group (1.92% vs 13.46%) (P＜0.05). Conclusion Internal rectus muscle resection combined with posterior migration of external rectus muscle is eff ective in the treatment of CIIXT, and the recurrence rate is low, which is worthy of clinical application.

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更新日期/Last Update: 2024-01-24