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目的从影响部分调节性内斜视儿童建立双眼视觉的多种因素中找出主要因素。方法对38例手术治愈的部分调节性内斜视的双眼视觉恢复情况进行多因素回归分析。结果部分调节性内斜视患儿的双眼视觉恢复率为6842%,当F=384时,进入回归方程的因素依次为:眼位、发病年龄、治疗前双眼视功能、双眼视力不等。当F=2时,戴镜年龄、手术年龄进入方程呈负相关。结论影响部分调节性内斜视儿童双眼视觉建立的主要因素是:眼位、发病年龄、治疗前双眼视功能、双眼视力不等和治疗年龄。对患儿应及时进行弱视治疗,避免打破双眼融合的治疗措施,尽早矫正内斜视。
Objective To identify the major factors that influence the development of binocular vision in some children with accommodative esotropia. Methods Multivariate regression analysis was performed on 38 cases of partially reconstructive esotropia with binocular visual recovery. Results The partial binocular visual recovery rate of children with accommodative esotropia was 68.42%. When F = 3.84, the factors that entered the regression equation were as follows: eye position, age of onset, binocular visual acuity before treatment, binocular visual acuity . When F = 2, wearing glasses age, surgical age into the equation was negatively correlated. Conclusions The main factors influencing the binocular vision of some children with accommodative esotropia are the location of eyes, the age of onset, binocular vision before treatment, binocular visual acuity and age of treatment. Children should be timely treatment of amblyopia, to avoid breaking the treatment of both eyes fusion, as soon as possible to correct esotropia.