水平直肌移位术治疗斜视的临床效果及患者满意度分析

Clinical Effect and Patient Satisfaction of Horizontal Rectus Muscle Transposition for Strabismus

目的分析水平直肌移位术治疗斜视的临床效果,同时调查患者满意度。方法抽取出2010年1月—2018年12月在院内接受手术治疗的斜视患者100例做对比研究,依据治疗方案的不同分组,其中50例外直肌单纯后徙治疗患者为对照组,另外50例水平直肌移位术治疗患者为观察组,统计疗效以及患者满意度等指标。结果观察组术中出血量为(5.68±1.02)mL,明显小于对照组的(8.26±2.06)mL,组间对比差异有统计学意义(t=8.526,P<0.05);两组患者平均手术时间与每条肌肉手术时间进行对比差异无统计学意义(P>0.05);观察组50例均达到有效及以上标准,总有效率为100.00%,对照组中有5例患者未达到有效标准,总有效率为90.00%,组间对比差异有统计学意义(P<0.05)。观察组45例恢复双眼视力,4例患者立体视,1例患者无同时视,对照组患者22例恢复双眼视,23例立体视,5例患者无同时视,组间对比差异有统计学意义(P<0.05)。术前两组患者双眼融合功能对比差异无统计学意义;术后1个月之内两组患者双眼融合功能对比差异无统计学意义(P>0.05);术后6个月,观察组患者双眼融合功能显著优于对照组患者,对比差异有统计学意义(P<0.05)。两组患者在1月、2月、3月眼位回退情况进行对比,差异无统计学意义(P>0.05);6月眼位回退情况对比中,观察组出现眼位回退患者显著少于对照组,对比差异有统计学意义(P<0.05);观察组总满意度为100.00%,对照组中有7例患者表示对治疗效果不满意,总满意度为86.00%,组间对比差异有统计学意义(χ2=7.527,P<0.05)。结论在斜视患者的治疗期间,可选择不同手术方式进行,而患者斜视类型的不同也应该选择不同的具体操作方案,该次研究结果证实,与以往临床手术方式对比,水平直肌移位术可达到相对理想的治疗效果,有助于提升患者治疗满意度。

Objective To analyze the clinical effect of horizontal rectus muscle displacement in the treatment of strabismus,and to investigate patient satisfaction.Methods 100 patients with strabismus who underwent surgical treatment in the hospital from January 2010 to December 2018 were selected for comparison.According to different treatment schemes,50 cases of patients with simple rectus rectus therapy were used as the control group,and another 50 cases patients treated with horizontal rectus muscle displacement were the observation group,with statistical indicators of efficacy and patient satisfaction.Results The intraoperative blood loss in the observation group was(5.68±1.02)mL,which was significantly smaller than that in the control group(8.26±2.06)mL.There was a statistically significant difference between the groups(t=8.526,P<0.05).There was no significant difference between the time and the operation time of each muscle(P>0.05);50 cases in the observation group all reached the standard of effectiveness and above,the total effective rate was 100.00%,and 5 patients in the control group did not meet the effective standard.The total effective rate was 90.00%,and the difference between the groups was statistically significant(P<0.05).In the observation group,45 cases recovered binocular vision,4 patients had stereopsis,1 patient had no simultaneous vision,22 patients in the control group recovered binocular vision,23 patients had stereopsis,and 5 patients had no simultaneous vision.The contrast difference between the groups was statistically significant(P<0.05).There was no significant difference in the binocular fusion function between the two groups of patients before the operation;there was no significant difference in the binocular fusion function between the two groups within 1 month after the operation(P>0.05);The fusion function was significantly better than that in the control group,and the contrast difference was statistically significant(P<0.05).There was no significant difference in eye position regression between the two groups in January,February,and March(P>0.05).In comparison of eye position regression in June,the observation group had significant eye position regression.Less than the control group,the contrast difference was statistically significant(P<0.05);the total satisfaction of the observation group was 100.00%,and 7 patients in the control group expressed dissatisfaction with the treatment effect,the total satisfaction was 86.00%,and the contrast difference between the groups was statistically significant Significance(χ2=7.527,P<0.05).Conclusion During the treatment of strabismus patients,different surgical methods can be selected,and different specific operation schemes should be selected for different types of strabismus.The results of this study confirm that compared with previous clinical surgical methods,horizontal rectus muscle displacement can achieve relatively ideal treatment results and can help improve patient satisfaction.