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目的探讨直肌后徙联合后部巩膜缝线悬吊固定术治疗甲状腺相关眼病限制性斜视患者的临床效果。方法选取2012年1月至2014年12月盘锦市中心医院辽河院区收治的36例限制性斜视患者作为研究对象,均行直肌后徙联合后部巩膜缝线悬吊固定术,比较手术前后患者的斜视度、复视情况及立体视觉恢复情况。结果手术后,患者的斜视度为(5±3)△,明显低于手术前的(41±18)△,差异有统计学意义(χ2=5.0243,P<0.05);手术后患者的复视率明显低于术前,差异有统计学意义(P<0.05);手术后患者立体视觉的恢复率明显高于术前,差异有统计学意义(P<0.05)。结论甲状腺相关眼病限制性斜视患者经直肌后徙联合后部巩膜缝线悬吊固定术治疗可以有效消除复视,改善斜视情况,有助于提高患者的生命质量。
Objective To investigate the clinical effect of rectus muscle plus posterior scleral suture suspension fixation for patients with thyroid-associated ophthalmic restriction strabismus. Methods From January 2012 to December 2014, 36 patients with restricted strabismus admitted to Liaohe Hospital of Panjin Central Hospital were enrolled in this study. All patients underwent rectusomy combined with posterior scleral suture suspension fixation. Before and after operation Strabismus, diplopia and stereoscopic vision recovery. Results The postoperative strabismus was (5 ± 3) △, which was significantly lower than that before surgery (41 ± 18) △, the difference was statistically significant (χ2 = 5.0243, P <0.05) The difference was statistically significant (P <0.05). The recovery rate of stereopsis after operation was significantly higher than that before operation, the difference was statistically significant (P <0.05). Conclusions The treatment of thyroid-associated ophthalmic restriction strabismus by posterior rectus and posterior scleral suture suspension fixation can effectively eliminate diplopia, improve strabismus and improve the quality of life of patients.