观察改良Parks切口显微术对水平共同性斜视患者泪膜功能指标、并发症发生率的影响

Observation of the Effect of Modified Parks Incision Microscopy on Tear Film Function Indicators and Incidence of Complications in Patients with Horizontal Concomitant Strabismus

目的探讨改良Parks切口显微术在水平共同性斜视患者中的应用效果。方法选取2022年5月—2023年5月莒县人民医院收治的78例水平共同性斜视患者为研究对象,按随机数字表法将其分为对照组和观察组,各39例。对照组行角膜缘梯形结膜瓣切口术治疗,观察组行改良Parks切口显微术治疗。比较两组的矫治效果、手术情况、泪膜功能、生活质量及并发症。结果治疗后,观察组总有效率较对照组高,手术时间、住院时间分别为(22.36±2.15)min、(4.65±0.85)d,均短于对照组的(34.58±3.41)min、(5.89±1.16)d,出血量为(8.62±1.12)mL,少于对照组的(11.87±1.35)mL,组间差异有统计学意义(P<0.05);观察组泪膜破裂时间、泪液分泌试验距离分别为(10.54±1.12)s、(10.25±1.11)mm/5 min,均长于对照组的(8.25±1.04)s、(8.61±1.08)mm/5 min,角膜荧光素染色评分评分为(5.12±1.02)分,低于对照组的(6.57±1.05)分,组间差异有统计学意义(P<0.05);观察组术后世界卫生组织生存质量测定量表简表各领域评分分别为(88.74±5.25)分、(86.87±5.34)分、(90.52±4.29)分、(91.35±4.22)分,均高于对照组的(81.63±5.22)分、(80.14±5.29)分、(83.21±5.25)分、(83.96±5.32)分,并发症发生率低于对照组,组间差异有统计学意义(P<0.05)。结论改良Parks切口显微术治疗水平共同性斜视的效果更佳,可减轻泪膜功能损伤,减少术中出血量,降低并发症发生风险,更好地改善术后生活质量。

Objective Exploring the application effect of modified Parks incision microscopy in patients with horizontal concomitant strabismus.Methods Seventy-eight patients with horizontal concomitant strabismus admitted to Ju County People's Hospital from May 2022 to May 2023 were selected as the reseach subjects,divide them into a control group and an observation group using a random number table method,with 39 cases in each group.The control group underwent corneal edge trapezoidal conjunctival flap incision treatment,while the observation group underwent modified Parks incision microscopy treatment.Compare the corrective effects,surgical conditions,tear film function,quality of life,and complications between two groups.Results After treatment,the total effective rate of the observation group was higher than that of the control group,with surgery time and hospital stay of(22.36±2.15)min and(4.65±0.85)d,respectively,which were shorter than the control group's(34.58±3.41)min and(5.89±1.16)d.The bleeding volume was(8.62±1.12)mL,which was lower than the control group's(11.87±1.35)mL,the differences between groups were statistically significant(P<0.05);the observation group's breakup time and schirmer I test distance were(10.54±1.12)s and(10.25±1.11)mm/5 min,respectively,which were longer than the control group's(8.25±1.04)s and(8.61±1.08)mm/5 min.The Corneal Fluorescein Stain score was(5.12±1.02)points,which was lower than the control group's(6.57±1.05)points,the differences between groups were statistically significant(P<0.05);the postoperative World Health Organization Quality of Life-BREF scores in various fields of the observation group were(88.74±5.25)points,(86.87±5.34)points,(90.52±4.29)points,and(91.35±4.22)points,which were higher than the control group's(81.63±5.22)points,(80.14±5.29)points,(83.21±5.25)points,and(83.96±5.32)points,respectively.The incidence of complications was lower than that of the control group,the differences between groups were statistically significant(P<0.05).Conclusion The modified Parks incision microscopy has a better therapeutic effect on horizontal concomitant strabismus,which can reduce tear film function damage,reduce intraoperative bleeding,lower the risk of complications,and better improve postoperative quality of life.