标题：单眼外直肌后徒术治疗儿童间歇性外斜视疗效观察

      作者：贺春香，王莉，王华    安康市中医医院眼科，陕西 安康 725000

      卷次： 2020年31卷18期

      【摘要】 目的 探讨单眼外直肌后徒术治疗儿童间歇性外斜视的疗效及对视功能的影响，为临床诊治提供理论依据。方法 选取2018年9月至2019年10月安康市中医医院眼科收治的70例间歇性外斜视儿童进行研究。所有患者均采取单眼外直肌后徒术治疗，观察患者术后短期及远期的疗效，并比较患者术前与术后远期的双眼单视功能。结果 术后1~3 d，眼位正位者占比81.43%，眼位欠矫者占比12.86%，眼位过矫者占比5.71%；术后≥6个月，眼位正位者占比68.57%，眼位欠矫者占比30.00%，眼位过矫者占比1.43%；70例患者中，远期正位者占比71.43%，欠矫者占比 27.14%，过矫者占比 1.43%；术后远期随访，四点灯检查结果显示，中心窝融合患者从术前的 17例(27.14%)提高至术后的54例(77.14%)，差异有统计学意义(P<0.05)；立体图检查结果显示，正常体视患者从术前的19例(27.14%)提高至术后的46例(65.71%)，差异有统计学意义(P<0.05)。结论 单眼外直肌后徒术治疗儿童间歇性外斜视能有效改善患者的中心窝融合、周边融合和立体视觉功能，促进患者双眼单视功能的恢复进程，值得临床推广使用。
      【关键词】 间歇性外斜视；单眼外直肌后徒术；儿童；疗效；视功能
      【中图分类号】 R777.4 【文献标识码】 A 【文章编号】 1003—6350（2020）18—2396—03

Curative effect of post-apprentice operation of external rectus muscle of one eye on intermittent exotropia inchildren.
HE Chun-xiang, WANG Li, WANG Hua. Department of Ophthalmology, Ankang Traditional Chinese MedicineHospital, Ankang 725000, Shaanxi, CHINA
【Abstract】 Objective To investigate the effect of post-apprentice operation of external rectus muscle of oneeye on intermittent exotropia in children and its effect on visual function, and to provide theoretical basis for clinical di-agnosis and treatment. Methods Seventy children with intermittent exotropia admitted to Department of Ophthalmolo-gy, Ankang Hospital of Traditional Chinese Medicine from September 2018 to October 2019 were selected for study. Allthe patients were treated with post-apprentice operation of external rectus muscle of one eye. The short-term andlong-term postoperative efficacy of the children were observed, and the long-term monocular function of patients beforeand after operation were compared. Results In 1-3 days after surgery, 81.43% of the patients were in normal ocular po-sition, and 12.86% of the patients had inadequately-corrected ocular position, and 5.71% patients had over-corrected ocu-lar positions. Six months after operation, the proportions of normal ocular position, inadequately-corrected ocular posi-tion, over-corrected ocular positions were 68.57% , 30.00% , 1.43% , respectively. Among the 70 patients, the patientswith long-term normal ocular position, inadequately-corrected ocular position, over-corrected ocular positions accountedfor 71.43%, 27.14%, and 1.43%. The results of the four-light examination showed that the patients with central fossa fu-sion increased from 17 cases before surgery (27.14%) to 54 cases after surgery (77.14%), with statistically significant dif-ference (P<0.05). The results of the stereogram examination showed that the normal stereoscopic patients increased from19 cases before surgery (27.14%) to 46 cases after surgery (65.71%), and the difference was statistically significant (P<0.05). Conclusion The post-apprentice operation of external rectus muscle of one eye is effective in treating patientswith intermittent exotropia, which can effectively improve the central fossa fusion, peripheral fusion and stereo visionfunction in children, promote the recovery of monocular function in children, and is worthy of clinical promotion.
      【Key words】 Intermittent exotropia; Post-apprentice operation of external rectus muscle of one eye; Children;Curative effect; Visual function·短篇论著·doi:10.3969/j.issn.1003-6350.2020.18.025