不同时机治疗儿童间歇性外斜视的疗效与满意度评价

Curative Effect of Different Treatment Timing on Children with Intermittent Exotropia and Its Analysis of and Appearance Satisfaction

目的:观察不同时机治疗儿童间歇性外斜视疗效及对术后患儿双眼视功能和外观满意度的影响。方法:选取2018年5月-2020年5月收治的216例间歇性外斜视患儿为研究对象,根据手术时机分为对照组(n=108例,7岁后实施)与观察组(n=108例,7岁前实施手术),对比两组视远正位率、过矫率、欠矫率,以及融合功能、双眼同时视功能、立体视功能恢复率和家属对患儿外观的满意度。结果:两组术后6个月、术后12个月视远正位率、过矫率、欠矫率比较,差异无统计学意义(P>0.05);观察组术后6个月、术后12个月融合功能恢复率高于对照组,差异有统计学意义(P<0.05);观察组术后6个月、术后12个月双眼同时视功能、立体视功能恢复率均高于对照组(P<0.05);观察组患儿家属对外观满意度高于对照组(P<0.05)。结论:7岁前实施手术可显著提升儿童间歇性外斜视疗效,改善术后患儿双眼视功能和外观满意度。

Objective The aim of this study was to observe the curative effect of different treatment timing on children with intermittent exotropia and its influences on postoperative binocular visual function and appearance satisfaction.Methods A total of 216 children with intermittent exotropia were enrolled as the research objects between May 2018 and May 2020.According to different treatment timing,they were divided into control group(n=108,surgical treatment after 7 years old)and observation group(n=108,surgical treatment before 7 years old).The orthophoria rate,overcorrection rate,undercorrection rate,fusion function,recovery rates of binocular visual function and stereoscopic visual function,and satisfaction of family members with children appearance were compared between the two groups.Results There was no statistically significant difference between the two groups in 6 months and 12 months postoperatively in the distance correction rate,overcorrection rate,and undercorrection rate(P>0.05).The observation group was 6 months after surgery and 12 months after surgery.The recovery rate of monthly fusion function was higher than that of the control group,and the difference was statistically significant(P<0.05).The recovery rate of simultaneous vision function and stereo vision function of both eyes in the observation group 6 months after operation and 12 months after operation were higher than those of the control group(P<0.05).The appearance satisfaction degree of the children in the observation group was higher than that in the control group(P<0.05).Conclusion The surgical treatment before 7 years old can significantly improve curative effect on children with intermittent exotropia,improve binocular visual function and appearance satisfaction.