儿童间歇性外斜视的治疗及治疗后立体视觉恢复影响因素研究

The research of children intermittent exotropia treatment and stereopsis recovery influencing factors after treatment

目的探讨儿童间歇性外斜视的治疗效果,分析治疗后影响立体视觉恢复的因素。方法对我院2010年1月至2012年3月间收治的70例儿童间歇性外斜视患者的临床资料进行回顾性分析,根据立体视锐度分成三组,比较术前术后立体视均值,分析术后立体视觉恢复影响因素。结果 3组术后立体视均值比术前有所降低,具有显著性差异(P<0.05)。进行单因素分析发现斜视年龄、病程、能否控制正体、术后立体视觉训练等因素具有统计学意义(P<0.05)。进行多因素logistic回归,发现斜视年龄、病程、术后立体视觉训练等因素具有统计学意义(P<0.05)。结论手术后患者立体视觉得到改善,同时根据恢复影响因素采取针对性治疗能够更为有效的提高立体视觉恢复效果。

Objective To investigate children intermittent exotropia treatment, analysis stereopsis recovery influen- cing factors after treatment. Methods Retrospectively analyzed clinical data of 70 consecutive patients of our hospital with intermittent exotropia, from Jan 2010 to Mar 2012. Divided into three groups based on stereoacnity,Compared Preoperative with postoperative stereopsis mean, analyze the influential factors of stereopsis recovery. Results The three group stereopsis mean were lower than the preoperative,had Significant difference, P 〈0.05o In univariate analysis,found that the strabis- runs age, duration, whether the control is the body and postoperative three-dimensional visual training had significant impact by univariate analysis（ P 〈0. 05 ）. Multivariate logistic regression, that the strabismus age, duration, postoperative three-dimensional visual training had significant impact by univariate analysis （ P 〈 0. 05 ）. Conclusion Stereoscopic vi- sion in patients after surgery were improved, according to recovery influencing factors to improve the stereopsis recovery effect.