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为探讨儿童部分调节性内斜视的手术时机,观察了78例儿童部分调节性内斜视矫正术后的立体视恢复情况;分析各种因素对其立体视恢复的影响。结果:78例中,55例术后获得立体视,功能治愈率为70.5%,且术后立体视的恢复率与术前相比,差异非常显著(p<0.01);早期手术组及具有融合功能组的立体视的恢复率显著高于较晚手术组及无融合功能组(p<0.01);发病越早,术后建立立体视的预后越差。结论:儿童部分调节性内斜视与部分调节因素有关,其由于解剖因素所引起的斜视需手术矫治。从立体视恢复上考虑,当患儿全矫配镜半年眼位仍不能正位时,应尽早手术矫正其残存的内斜度。术中应根据戴全矫眼镜后的眼位决定手术量。术后由于调节因素所致的内斜视仍需配镜矫正。
In order to explore the operation timing of partial esotropia in children, the stereopsis recovery of 78 children with partial accommodative esotropia was observed. The effects of various factors on the recovery of stereopsis were analyzed. Results: Of the 78 cases, 55 cases had stereopsis after operation, and the functional cure rate was 70.5%. The recovery rate of stereopsis after operation was significantly higher than that before operation (p <0.01) The recovery rate of stereopsis with fusion function group was significantly higher than that of the later surgery group and no fusion function group (p <0.01). The earlier the onset, the worse the prognosis of stereopsis was. Conclusion: Partial accommodative esotropia in children is related to some adjustment factors. Strabismus caused by anatomical factors is needed for surgical correction. Considered from the perspective of recovery, when the children full glasses half eye position still can not be positive, surgery should be corrected as soon as possible the remnants of the esotropia. Surgery should be based on wearing glasses after eye surgery to determine the amount of surgery. Postoperative esotropia due to regulatory factors still need glasses correction.