云南省青少年儿童斜视手术回顾性分析

Retrospective analysis of strabismus surgery in adolescents and children in Yunnan province

目的:分析云南省青少年儿童斜视手术情况。方法:回顾性分析2017-01/2021-12于云南大学附属医院行斜视手术的青少年儿童患者3 068例的病历资料,分析纳入患者的性别和年龄构成、斜视类型分布、合并其它眼部疾病等情况。结果:纳入患者中男性占52.12%,女性占47.88%;学龄前(1~6岁)患者占32.89%,小学生(7~12岁)占45.89%,中学生(13~18岁)占21.22%;外斜视占63.17%,其中以间歇性外斜视最常见,内斜视占19.69%,其中以共同性内斜视最常见,特殊类型斜视占17.14%,其中以A-V综合征和分离性垂直斜视(DVD)最常见;合并屈光不正者占61.02%,合并弱视者占10.89%,少数患者还合并其他眼部疾病。结论:云南省青少年儿童斜视类型以间歇性外斜视最普遍,部分患者合并其他眼部疾病。

AIM:To analyze the strabismus surgery situation of adolescents and children in Yunnan province.METHODS:A retrospective analysis was conducted on medical records data of 3068 adolescents and children who received strabismus surgery at Affiliated Hospital of Yunnan University from January 2017 to December 2021.The analysis included gender,constituent ratio of age,distribution of strabismus types and combination with other ocular diseases,etc.RESULTS:Among the included patients,52.12%were males,and 47.88%were females.Preschool patients(1 to 6 years old)accounted for 32.89%,primary pupils(7 to 12 years old)accounted for 45.89%and high school students(13 to 18 years old)accounted for 21.22%.Exotropia accounted for 63.17%of the total strabismus,of which intermittent exotropia was the most common type.Esotropia accounted for 19.69%,and concomitant esotropia was the most common type.The special type of strabismus accounted for 17.14%,and A-V syndrome and dissociative vertical deviation(DVD)were the most common types.Strabismus combined with ametropia accounted for 61.02%and amblyopia accounted for 10.89%.A few patients also combined with other eye diseases.CONCLUSION:In Yunnan province,intermittent exotropia was the most common type of strabismus among adolescents and children.Some patients combined with other ocular diseases.