三种下斜肌转位术治疗分离性垂直斜视的手术疗效分析

Surgery Curative Effect Analysis of 3 Kinds of Inferior Oblique Muscle Transposition Surgery Treatment of Dissociated Vertical Strabismus

目的:探讨三种不同下斜肌转位术治疗分离性垂直斜视患者的临床治疗效果,以提高患者临床疗效与生活质量。方法:对分离性垂直斜视患者进行回顾性临床分组研究,单纯下斜肌转位术为A组,下斜肌截除联合转位术为B组,下斜肌截除联合转位并前徙术为C组。三组患者在常规局部麻醉下,以不同的手术方法进行治疗。术后对患者进行垂直斜度及下斜肌亢进改善程度检查,随访六个月,对检查结果进行统计学分析。结果:A、B、C三组分离性垂直斜视患者经治疗后,总有效率分别为88.46%、89.47%、93.33%,组间比较差异无统计学意义(P>0.05)。结论:对于分离性垂直斜视患者进行临床手术治疗时,应根据患者实际情况选择手术方法,从而达到更为有效的治疗效果,提高患者生活质量。

Objective： To discuss clinical therapeutic effect of 3 kinds of inferior oblique muscle transposition surgery treatment of dissociated vertical strabismus patient, improve the clinical efficacy and quality of life.Method： This paper review clinical grouping research on dissociated vertical deviation patient, simple inferior oblique muscle transposition operation for group A, inferior oblique muscle amputation joint translocation operation for group B, inferior oblique muscle amputation joint translocation operation and former Resettlement surgery for C.3 groups of patients in the conventional local anesthesia, were treated with different surgical methods.After for the patients with vertical slope and inferior oblique muscle hyperfunction improvement of inspection.Follow-up of six months, inspection results were statistically analyzed.Result： The A, B, C groups dissociated vertical strabismus patients after treatment, the total efficiency were 88.46%, 89.47%, 93.33%, the efficacy of the 3 groups of patients were not statistically significant （ P〉0.05 ） .Comparative.Conclusion： For dissociated vertical strabismus patients for clinical surgei＇y treatment, The surgical method should be chosen according to the actual situation of patients, in order to achieve a more effective treatment, improve the life quality of the patients.