不同年龄段儿童共同性外斜视手术的近远期效果追踪

Evaluation of the short-term and long-term effect of concomitant extropia operation treatment in different ages of children

目的评价不同年龄段行共同性外斜视手术治疗的近期和远期效果。方法对2008年1月至2014年6月在南昌大学第二附属医院儿童眼科确诊共同性外斜视患儿285例，分为3～7岁组、7。12岁组和〉12岁组，进行手术治疗，术后随访观察1～3年。结果术后不同年龄组间斜视的满意率，差异有统计学意义（x2=9．367，P=0．007）。术后1周效果满意265例（93％，265／285），术后1年效果满意240例（84．21％，240／285），不同类型共同性外斜视组之间手术后远期和近期效果差异无统计学意义（P〉0．05）。患儿术前262例（91．9％，262／285）无双眼同视功能，术后1年恢复双眼同时视165例（57．9％，165／285），差异明显有统计学意义（又名16．142，P=0．001）。结论建议共同性外斜视患儿尽量在7岁前完成斜视手术，手术方法依据年龄的不同、看远看近的斜视角不同进行选择，争取获得最大意义上的共同性外斜视功能性治愈。

Objective To evaluate the short-term and long-term effect of concomitant extropia op- eration treatment in different ages of children. Methods Concomitant extropia coperation was per- formed on 285 cases from Department of Ophthalmology, the Second Affiliated Hospital of Nan- chang University, from January 2008 to June 2014. Results There were satisfactory results in 265 cases one week after operation （93%, 265/285）, and 240 cases with satisfactory results one year af- ter operation （84.21%, 240/285）. There was no significant difference among three types of concomi- tant exotropia groups. There were 262 cases （91.9%, 262/285） without binocular visual function be- fore operation, 165 cases （57.9%, 165/285） with binocular visual function one year after operation. There was obvious binocular visual function recovery among different age groups. Conclusions It is suggested that the strabismus operation should complete before 7 years old. Different types of con- comitant exotropia group have different method of operation.