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目的探讨根据眼底照相结果,指导选择手术方式,治疗无明显斜肌功能亢进的V征斜视患者的效果分析。方法利用眼底照相技术,观察眼球有无外旋情况,判定常规检查无明显斜肌功能亢进的V征斜视患者斜肌功能是否亢进,将利用眼底照相技术判定为斜肌功能亢进的85例患者随机分为对照组和观察组,对照组行常规手术,观察组行下斜肌切断术。术后第2天,眼底照相观察眼球外旋情况,术后6周检查手术矫正效果。结果复查眼底照相,观察组和对照组差异有统计学意义(P<0.01);手术矫正效果,观察组和对照组差异有统计学意义(P<0.05)。结论联合眼底照相技术指导无明显斜肌功能亢进的V征斜视手术方式的选择,能够提高此类患者的治疗效果。
Objective To investigate the results of fundus photography, guide the selection of surgical methods, the treatment of obvious oblique muscle function in patients with V levy strabismus effect analysis. Methods The fundus photography technique was used to observe the presence or absence of external rotation of the eyeball. The prevalence of oblique oblique muscle function in patients with V-strabismus who had no obvious oblique muscle function in routine examination was determined. Eighty-five patients who were diagnosed as oblique muscle function by fundus photography were randomized Divided into control group and observation group, the control group underwent routine surgery, the observation group underwent oblique incision. On the second day after operation, fundus photography was used to observe the condition of eyeball external rotation and the surgical correction effect was checked 6 weeks after operation. The findings of fundus photography, the observation group and the control group, the difference was statistically significant (P <0.01); surgical correction effect, the observation group and the control group, the difference was statistically significant (P <0.05). Conclusion The combination of fundus photography to guide the choice of V levator ani strabismus without obvious oblique muscle function can improve the curative effect of such patients.