摘要
目的比较三种下斜肌手术方式矫正下斜肌亢进对眼球水平、垂直和旋转眼位的客观检查结果的影响，为临床治疗提供参考。方法收集2010年7月至2016年1月在昆明医科大学第二附属医院眼科因下斜肌亢进单独行下斜肌减弱术患者51例，手术方式包括：A组：下斜肌后徙术（15例）、B组：下斜肌断腱术（23例）和C组：下斜肌转位术（13例）三种，通过术前和术后1个月眼底照相检查和三棱镜交替遮盖等检查，比较这三种不同的手术方式术后对水平、垂直和旋转眼位的影响程度。结果A、B、C三组间的水平眼位变化差异无统计学意义（P =0.769）。A、B、C三组的垂直眼位变化值分别为7.5△±3.5△、8.1△±2.9△、12.8△±3.1△，A、B组比较无统计学差异（P =0.835），C和A及C和B比较，差异有统计学意义（P 〈0.001）；A、B、C三组的旋转眼位变化间的差异无统计学意义（P =0.472）。结论下斜肌后徙术和下斜肌断腱术对所有水平、垂直和旋转位影响效果相当，可以替换；三种下斜肌术式对水平眼位几乎无影响；下斜肌转位术对垂直眼位影响最强；三种下斜肌术式对旋转眼位的影响效果相当。
Objective To compare the influences of three inferior oblique surgeries on horizontal, vertical and rotary eye positions.Methods Fifty-one cases of inferior oblique （IO） muscles overaction who underwent the weaken surgery alone were collected retrospectively. There were three surgical methods underwent： recessions of IO （Group A, 15 cases）, myectomy of IO （Group B, 23 cases） and transposition of IO （Group C, 13 cases）.Results The influences on horizontal position in group A, B, C were not different（P 〉0.05）. The influences on vertical position were 7.5△±3.5△, 8.1△±2.9△, 12.8△±3.1△ in group A, B, C, respectively, and there was no significant differenc between group A and B （P 〉0.05）, and there were significant differences between group C and A/group C and B （P 〈0.05）. The influences on ratary position in group A, B, C were not differeat （P 〉0.05）.Conclusions In efficiency of influence to eye positions, both recession and myectomy are equal. There is few influence to the horizontal eye position in these three surgery methods. Transposition of the IO strikes the greatest influence to the vertical eye position. All three surgery methods have the similar influence to rotary position.
作者
孙恒
郭立云
杜红
李宪武
Sun Heng; Guo Liyun; Du Hong; Li Xiunwu(Department of Ophthalmology, the Second Affiliated Hospital of Kunming Medical University, Kunming 650000, China)
出处
《中国实用眼科杂志》
2017年第10期996-998,共3页
Chinese Journal of Practical Ophthalmology
基金
云南省卫生厅科技计划项目（2014NS043）
