共同性内斜视手术疗效分析

Analysis of surgical treatment for concomitant esotropia

目的 探讨影响共同性内斜视手术治疗效果的相关因素.方法 回顾性分析2010年6月至2013年11月在兰州市第一人民医院眼科通过手术治疗的236例共同性内斜视患者,高AC/A型和基本型手术以双内直肌后徙为主,低AC/A型手术以缩短外直肌为主,并于手术后随诊12～18个月,平均14月,对其术后眼位及融合功能等进行观察和分析.结果 236例共同性内斜视手术患者术后正位者209例占88.56％ （209/236）,欠矫22例占9.32％ （22/236）,过矫5例占2.12 （5/236）.术前无融合功能198例,术后138例占69.70 （138/198）建立了双眼单视功能.结论 共同性内斜视手术效果受多因素影响,手术量是术后眼位的决定性因素,患者术前的双眼视功能对术后眼位影响明显.

Objective To investigate the related factors of surgical effect for the concomitant esotropia.Methods Retrospective analysis of 236 cases of concomitant esotropia clinical data and treatment outcomes.The patients who with high AC/A and basic style underwent the surgery of bilateral medial rectus migration,who with low AC/A underwent lateral rectus shorten.All patients followed 12-18 months after surgery,average 14 months,include eye position,fuse function.Results All 236 cases received surgery,209 cases （88％） were normal eye position after surgery,22 cases （9％） were undercorrection,5 cases （3％） were overcorrection; 198 cases were not integration,138 cases （70％） were binocular integration after surgery.Conclusions The surgical effect of concomitant esotropia is affected by multiple factors.Surgery is the decisive factor in the amount of postoperative eye position.Binocular function in patients with preoperative obvious impact on postoperative eye position.