显微斜视手术和传统斜视手术临床疗效的比较

Comparison of therapeutic effects of micro-surgery versus traditional surgery on strabismus

目的比较显微斜视手术和传统斜视手术的临床疗效。方法回顾性分析92例斜视患者,将按照治疗方式不同分为观察组和对照组。结果观察组的术中出血量明显低于对照组(P<0.05)。观察组术中、术后并发症的发生率明显低于对照组(P<0.05)。同时观察组和对照组的手术时间、眼位和三级视功能恢复情况均无明显差异(P>O.05)。结论显微斜视矫正术更安全,创伤小,术中出血量少,并发症少,在不延长手术时间的前提下能获得较好的手术效果。

Objective To compare the therapeutic effects of micro-surgery versus traditional surgery on strabis- mus. Methods Retrospectively reviewed 92 strabismus patients. Subjects were divided into observation group and control group according to the treatment modalities they received. Results The amount of intraoperative bleeding in observation group was significantly smaller than control group （ P 〈 0.05 ）. The incidence of intmopemtive and postoperative compllca- lions in observation group was significantly lower than control group （ P 〈 0. 05 ）. There was no difference in operation time, eye position, and three level visual function zecovery rate between the two groups （ P 〉0.05）. Conclusion Micro- surgery as strabismus treatment is safer, produces smaller wound and less bleeding durin＇s operation, and results in less complications. It provides better overall outcome without extend operation time.