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目的探讨不同手术方式治疗集合不足型间歇性外斜视的疗效。方法将76例集合不足型间歇性外斜视患者,根据手术设计方式分为A、B两组,A组行双眼外直肌后徙术,B组行单眼内直肌缩短联合外直肌后徙术。术后随访,比较两组术后正位率、融合功能恢复率、立体视功能恢复率及残余性外斜视、连续性内斜视发生率。结果术后随访眼位总体正位率82.89%,A组为69.23%B组为90%,P<0.05。术后融合功能恢复率、立体视功能恢复率、残余性外斜视和连续性内斜视发生率两组间差异均有显著性(P<0.05)。结论采用单眼外直肌后徙联合内直截除术治疗集合不足型间歇性外斜视,术后正位率、融合功能和立体视功能恢复均优于双眼外直肌后徙术。
Objective To investigate the curative effect of different surgical methods in treating intermittent exotropia with insufficient collection. Methods A total of 76 patients with episodes of intermittent exotropia were divided into groups A and B according to the surgical design. Group A received binocular rectus after rectus surgery and group B received monocular rectus after shortening combined with rectus abdominis Surgery. Postoperative follow-up, postoperative orthostatic rate, fusion function recovery rate, stereopsis recovery rate and residual exotropia, the incidence of continuous esotropia were compared. Results The overall orthoptic rate of follow-up was 82.89%, 69.23% in group A and 90% in group B (P <0.05). The postoperative fusion function recovery rate, stereopsis recovery rate, residual exotropia and continuous esotropia incidence were significantly different between the two groups (P <0.05). Conclusions The monocular lateral rectus posterior reticulum transplantation combined with internal rectum excision for the treatment of underdeveloped intermittent exotropia, postoperative orthostatectomy, fusion and stereopsis recovery are better than the lateral rectus abdominis migration.