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目的:探讨双眼或单眼内直肌缩短术或联合外直肌后退术治疗集合不足型共同性外斜视的疗效。方法:收集行双眼或单眼内直肌缩短术或联合外直肌后退术的集合不足型共同性外斜视患者181例,术前及术后1wk;2,6mo均行常规的眼科检查、斜视角测量、眼球运动及同视机检查,分别对眼位、视功能等结果进行统计学分析。结果:术后1wk;2,6mo,患者正位率分别为80.1%,83.7%和81.3%,眼位同术前相比有明显改善(P<0.01),术后双眼视功能同术前相比无明显恢复(P>0.05)。结论:对于集合不足型共同性外斜视,行双眼或单眼内直肌缩短术可获得较满意的效果。
Objective: To investigate the efficacy of shortening or rectus abdominis rectus combined with rectus abdominis in the treatment of underutilized common exotropia. Methods: A total of 181 patients with underutilized common exotropia underwent bilateral or monocular rectus ablation or combined with rectus abdominis were enrolled in this study. Preoperative and postoperative 1wk; Measurement, eye movement and the same examination, respectively, eye position, visual function and other results for statistical analysis. Results: At 1wk and 2, 6mo postoperatively, the positive rate was 80.1%, 83.7% and 81.3% respectively. The eye position was significantly improved compared with that before operation (P <0.01) No significant recovery (P> 0.05). CONCLUSION: Satisfactory results can be obtained in the cases of underdeveloped common exotropia, bilateral or monocular rectus ablation.