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目的:探讨后巩膜加固联合斜视矫正术治疗近视合并斜视的临床效果。方法:择取2014年11月至2015年11月在莱芜市人民医院进行诊治的114例近视合并斜视患者,均进行后巩膜加固术联合斜视矫正术治疗,先表麻结合结膜下浸润麻醉处理进行斜视矫正术,然后球后麻醉处理进行后巩膜加固术治疗。结果:经后巩膜加固术联合斜视矫正术治疗后,患者斜视角、双眼视明显优于术前,差异有统计学意义(P<0.05)。术后,患者的视力(0.10±0.08)、屈光度(10.25±2.70)D、眼轴长(26.95±1.40)mm,明显优于术前的(0.25±0.05)、(9.05±1.85)D、(25.85±0.65)mm,差异有统计学意义(P<0.05)。结论:后巩膜加固术联合斜视矫正术治疗近视合并斜视的疗效理想,操作简便,手术解剖层次更加清晰,一次性手术的成功率较高,具有重要的临床参考价值。
Objective: To investigate the clinical effect of posterior scleral reinforcement combined with strabismus in the treatment of myopia with strabismus. Methods: A total of 114 patients with myopia with strabismus who were treated in Laiwu People’s Hospital from November 2014 to November 2015 were treated with posterior scleral reinforcement combined with strabismus surgery. The patients underwent topical anesthesia combined with subconjunctival anesthesia Strabismus surgery, and then post-ball anesthesia for sclerostomy. Results: The posterior scleral reinforcement combined with strabismus surgery showed that the angle of strabismus and binocular vision were significantly better than those before operation (P <0.05). After operation, the visual acuity (0.10 ± 0.08), refraction (10.25 ± 2.70) D and length of axial length (26.95 ± 1.40) mm were significantly better than those before surgery (0.25 ± 0.05) and (9.05 ± 1.85) 25.85 ± 0.65) mm, the difference was statistically significant (P <0.05). Conclusion: Posterior scleral reinforcement combined with strabismus surgery for the treatment of myopia with strabismus ideal effect, easy to operate, surgical dissection level more clearly, the success rate of one-time surgery is high, has important clinical reference value.