| 陈勇，肖文星，邹鸿，张跃林.显微微创技术治疗共同性斜视的临床疗效观察.[J].中南医学科学杂志.,2013,41(3):287-289. |
| 显微微创技术治疗共同性斜视的临床疗效观察 |
| Analysis of the Therapeutic Effects of Microscopic Minimally Invasive Technology on the Treatment of Concomitant Strabismus |
| 投稿时间：2013-01-15 |
| DOI： |
| 中文关键词: 显微技术 共同性斜视 手术 |
| 英文关键词:microtechnic concomitant strabismus operation |
| 基金项目: |
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| 中文摘要: |
| 目的总结92例124眼共同性内斜视及共同性外斜视患者采用显微微创技术治疗的资料，探讨显微技术应用于斜视治疗的价值。方法回顾性选择共同性内斜视及共同性外斜视在显微镜下施行手术治疗患者的临床资料，并对其疗效、并发症等与行传统手术的患者进行比较分析。结果显微微创手术后完全功能治愈者84例(91.3%)，不完全功能治愈者6例(6.52%)，临床治愈者2例(2.17%)；其中5例(5.44%)过矫＜15△,2例(2.17%)欠矫＜15△。与传统手术方法比较疗效差异无统计学意义（P>0.05）。显微手术组术中出血并发症、眼-胃肠反应发生率明显低于传统手术组（P<0.05）,显微手术组角膜上皮损伤剥脱发生率也显著低于传统手术组（P<0.01）。术后随访6～12个月，显微手术组结膜肉芽肿发生率低于传统手术组（P<0.05），其他各项差异无统计学意义。结论显微微创手术治疗共同性内斜视和外斜视损伤小，术中及术后并发症发生率显著低于传统手术，值得临床大力推广。 |
| 英文摘要: |
| ObjectiveTo discuss the value of the microsurgery techniques on the squint strabismus treatment through retrospectively studying the curative effects difference between the cases treated with the microsurgery techniques and treated with traditional surgery.MethodsIt was collected that the clinical data from 92 patients with concomitant strabismus treated with microsurgery techniques and 103 patients with concomitant strabismus treated with traditional surgery in zhuzhou city central hospital.In according to the therapeutic effect evaluation standard of strabismus the Chinese medical association branch of strabismus and ophthalmology pediatric ophthalmology group in the 1996,the curative effect and complication of the patients were documented,compared and analyzed between these two groups.ResultsEighty-four cases of patients were fully cured by the microsurgery,taking up the 92.3%,and incomplete functional cure patient 5 (5.49%), and two of patients were fully cured by the clinical approaches,in 92 cases of patients treated with microsurgery techniques.There were 5 cases of overcorrection (<15,5.44%) patients and 2 cases of undercorrection (<15,2.17%) patients in microsurgery techniques group.Compared with traditional surgery group,the rat of bleeding complications,eye- gastrointestinal reaction and corneal epithelium damage stripped is lower.The following up 6 to 12 months standard postoperative investigation,incidence rate conjunctival granuloma in microsurgery group is lower than traditional group.The others showed no difference between traditional group and microsurgery group. ConclusionThe microsurgery treatment to the concomitant esotropia and walleye is a promoting techniques with the characteristics of higher curative effect,little injury,fewer complications in surgery and postoperative. |
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