直肌边缘切开术与配戴三棱镜矫治共同性内斜视疗效比较<br />-《中国美容医学》

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Title:: Comparison of the Efficacy of Rectus Marginal Incision and Prism in the Treatment of
Concomitant Esotropia

文章编号:: 1008-6455（2021）07-0040-04

作者:: 梁光丽; 白莹; 文勇; 曾春梅; 邓斌

Author(s):: LIANG Guang-li; BAI Ying; WEN Yong; ZENG Chun-mei; DENG bin

关键词:: [关键词]共同性内斜视; 直肌边缘切开术; 三棱镜; 眼位矫正; 立体视功能恢复

Keywords:: Key words: concomitant esotropia; rectus marginal incision; prism; eye position correction; stereoscopic function recovery

分类号:: R777.4+1

文献标志码:: A

摘要:: [摘要]目的：探讨直肌边缘切开术与配戴三棱镜对共同性内斜视患者眼位矫正效果及视力恢复的影响。方法：2018年1
月-2020年1月在笔者医院进行治疗的共同性内斜视患者中选出80例，按照治疗方法的不同分为对照组和观察组，每组40例，
对照组采用配戴三棱镜治疗，观察组采用直肌边缘切开术治疗，比较两组患者治疗前后的正位率、残存斜视度、融合功能、
融合范围、近立体视功能变化。结果：观察组患者治疗1周、术后1个月、3个月的正位率显著高于对照组，差异有统计学意
义（P ＜0.05）；治疗6个月后观察组的正位率稍高于对照组，但差异无统计学意义（P ＞0.05）。两组治疗前的残存斜视度
比较差异无统计学意义（P ＞0.05）；观察组治疗1周、1个月、3个月、6个月后的残存斜视度显著低于对照组，差异有统计
学意义（P＜0.05）。两组治疗前、治疗1周后的融合功能正常率比较差异无统计学意义（P ＞0.05）；观察组治疗1个月、3
个月、6个月后的融合功能正常率高于对照组，差异有统计学意义（P ＜0.05）。两组治疗前的融合范围比较差异无统计学意
义（P ＞0.05）；治疗1周、1个月、3个月、6个月的融合范围大于对照组，差异有统计学意义（P ＜0.05）。观察组治疗后1
周、1个月、3个月、6个月的精细立体视功能恢复较对照组好，但差异无统计学意义（P ＞0.05）。结论：与配戴三棱镜相
比，直肌边缘切开术能够有效矫正共同性内斜视，有助于双眼融合功能与立体视功能的恢复。

Abstract:: Abstract: Objective To investigate the impact of rectus marginal incision and prism on eye position correction and vision
recovery in patients with concomitant esotropia. Methods 80 patients with concomitant esotropia treated in the hospital were
selected as the research subjects between January 2018 and January 2020. According to the treatment method, the patients
were divided into the control group and the observation group, 40 cases in each group. The control group wore the prism for
treatment, while the observation group was treated with rectus marginal incision. Changes in orthotopic rate, residual strabismus
degree, fusion function, fusion range and near stereopsis before and after treatment were compared between the two groups.
Results The orthostatic rate in the observation group was significantly higher than that in the control group after one week,
one month and 3 months of treatment, the difference were statistically significant (P ＜0.05). After 6 months of treatment, the
positive rate of the observation group was slightly higher than that of the control group, but the difference was not statistically
significant (P ＞0.05). There was no significant difference in residual strabismus degree between the two groups before treatment
(P ＞0.05). The residual strabismus degree of the observation group was significantly lower than that of the control group after
one week, one month, 3 months and 6 months of treatment (P ＜0.05). There was no significant difference in the normal rate
of fusion function between the two groups before treatment and after one week of treatment (P ＞0.05). The normal rates of
fusion function in the observation group after one month, 3 months and 6 months of treatment were higher than those in the
control group (P ＜0.05). There was no significant difference in fusion range between the two groups before treatment (P ＞0.05).
The observation group had larger fusion range than the control group after one week, one month, 3 months and 6 months of
treatment (P ＜0.05). After one week, one month, 3 months and 6 months of treatment, the recovery of fine stereopsis function
in the observation group was better than that in the control group, but the difference was not statistically significant (P ＞0.05).
Conclusion Compared with wearing the prism, rectus marginal incision can effectively correct concomitant esotropia and help
restore binocular fusion and stereopsis.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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