手术显微镜下斜视矫正手术的临床疗效

Strabismus surgery under microscope

目的探讨手术显微镜下斜视矫正手术的可行性和并发症的发生情况。方法128例斜视随机分为两组，手术显微镜下斜视矫正手术70例为试验组，肉眼直视下传统斜视矫正手术58例为对照组。术后随访时间6-12个月，平均（8．20±2．41）月，观察患者眼位矫正情况及结膜切口瘢痕、肌肉缝线反应、结膜下囊肿、术后感染、眼前段缺血综合征等并发症发生情况。结果试验组眼位矫正有效率97．14％，对照组眼位矫正有效率96．55％，两组眼位矫正效果对比，差异无统计学意义（X^2=0．04，P〉0．05）。试验组并发症发生率1．43％，对照组并发症发生率10．34％，两组差异有统计学意义（X^2=4．88，P〈0．05）。结论手术显微镜下斜视矫正手术是可行的，具有与传统斜视矫正手术相同的效果，显微斜视矫正手术具有术后反应轻、并发症少等明显优势。

Objective To investigate the feasibility and complications of strabismus surgery under microscope. Methods 128 cases were randomly divided into two groups, with 70 cases of strabismus sur- gery under microscope as experimental group and 58 cases with traditional strabismus surgery as control group The postoperative follow-up ranged from 6 to 12 months with average（ 8.20± 2.41 ） months. The eye posi- tion and the postoperative complications （conjunctival incision scar, muscle suture reaction, subconjunctival cyst, infection and anterior segment is chemia） were observed. Results The effective rate of strabismus or- thosis of the experimental group was 97.14% and that of the control group was 96.55%. The effective rate had no statistical significance between the two groups （X^2 = 0. 04, P 〉 0. 05 ）. The differences of complica- tions of surgery between the two groups were statistically significant （X^2 = 4. 88, P 〈 0.05 ）, which was 1.43% in experimental group, and 10.34% in control group. Conclusion Efficiency of strabismus surgery under microscope is the same as traditional one. It has many advantages comparing with traditional strabis- mus surgery, such as minimal invasion,less complication, light reaction after or^eration.