显微斜视矫正手术与传统手术治疗斜视的疗效观察

The Assessment of Therapeutic Effects of Micro-surgery Versus Traditional Surgery on Strabismus

目的比较显微斜视矫正手术和传统手术治疗斜视的疗效。方法将2014年1月至2015年6月来我院眼科就诊的斜视患者随机分为观察组和对照组,对观察组行显微镜下斜视矫正手术,对照组行肉眼直视下矫正手术。结果观察组患者术中出血量明显低于对照组,术中和(或)术后并发症发生率明显低于对照组,差异均有统计学意义(P>0.05)。两组临床疗效、手术时间、眼位和三级视功能恢复情况等方面的差异均无统计学意义(P>0.05)。结论显微斜视矫正手术术中出血量少,并发症少,安全有效,创伤小,值得在基层医院眼科推广。

Objective To compare the effects of micro-surgery and traditional surgery on strabismus. Methods Patients With strabismus coming to our hospital from January 2014 to June 2015 were divided into observation group and control group at random. Observation group were treated by microsurgical method and control group were treated by traditional surgical method. Results The amount of intraoperative bleeding in observation group was smaller than control group and the incidence of intraoperative and（or） postoperative complications in observation group was lower than control group, the differences both were significant statistically（P〈0.05）. The differences in the therapeutic effects, operation time, eye position, and three level visual function recovery rate between the two groups weren＇t significant statistically （P〉0.05）. Conclusion The microsurgical method produces less bleeding and less complications, results smaller wound, is safe and efective during operation. It is worthy of clinical on extensive use.