天堂国产午夜亚洲专区-少妇人妻综合久久蜜臀-国产成人户外露出视频在线-国产91传媒一区二区三区

當(dāng)前位置:主頁 > 醫(yī)學(xué)論文 > 五官科論文 >

共同性斜視手術(shù)前后雙眼視覺變化的臨床研究

發(fā)布時(shí)間:2018-08-06 20:41
【摘要】:目的:觀察共同性斜視患者手術(shù)前后雙眼視覺的變化,探討不同斜視類型對(duì)術(shù)后雙眼視覺恢復(fù)的影響以及術(shù)后雙眼視覺恢復(fù)的規(guī)律。 方法:選取2010年10月至2011年12月間在我科住院行斜視矯正術(shù)的72例共同性斜視患者,其中男41例,女31例,年齡在3~36歲之間,按斜視類型分為四組:組1,共同性內(nèi)斜視13例;組2,間歇性外斜視27例;組3,恒定性外斜視21例;組4,恒定性外斜視伴下斜肌亢進(jìn)11例。手術(shù)前后分別進(jìn)行眼部常規(guī)檢查,屈光檢查,三棱鏡加交替遮蓋法測(cè)量斜視度,應(yīng)用同視機(jī)檢查雙眼視覺三級(jí)功能,應(yīng)用顏少明編繪的《立體視覺檢查圖》測(cè)定近立體視銳度。記錄術(shù)前、術(shù)后第1天、第7天、1個(gè)月及3個(gè)月的各項(xiàng)檢查數(shù)據(jù),并對(duì)數(shù)據(jù)資料進(jìn)行統(tǒng)計(jì)學(xué)分析。 結(jié)果: 1.不同斜視類型患者雙眼視覺的比較: ⑴術(shù)前的一般情況:四組間手術(shù)年齡、發(fā)病年齡及術(shù)前斜視度的差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。四組間術(shù)前同時(shí)視、融合功能、遠(yuǎn)立體視及近立體視的差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。 ⑵術(shù)后Ⅰ級(jí)同時(shí)視功能:組2(23例,85.2%)術(shù)后同時(shí)視的恢復(fù)明顯優(yōu)于組1(7例,53.8%)、組3(12例,57.1%)及組4(6例,54.5%),其差異有統(tǒng)計(jì)學(xué)意義(P0.05)。 ⑶術(shù)后II級(jí)融合功能:組2(19例,70.4%,19.3°±3.1°)術(shù)后融合功能及融合范圍的恢復(fù)明顯優(yōu)于組1(5例,38.5%,6.3°±4.8°)、組3(9例,42.9%,14.1°±3.7°)及組4(3例,,27.3%,12.4°±7.5°),其差異有統(tǒng)計(jì)學(xué)意義(P0.05)。 ⑷術(shù)后III級(jí)遠(yuǎn)立體視:組2(8例,29.6%)術(shù)后遠(yuǎn)立體視的恢復(fù)明顯優(yōu)于組1(0例),其差異有統(tǒng)計(jì)學(xué)意義(P0.05)。 ⑸術(shù)后近立體視:組2(24例,88.9%)術(shù)后近立體視的恢復(fù)明顯優(yōu)于組1(5例,38.5%)、組3(11例,52.4%)及組4(8例,72.7%),其差異有統(tǒng)計(jì)學(xué)意義(P0.05)。 2.手術(shù)前后雙眼視覺的比較: 共同性斜視患者術(shù)后雙眼視覺三級(jí)功能及近立體視的恢復(fù)明顯優(yōu)于術(shù)前,其差異有統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后第1天與第7天之間比較;術(shù)后1個(gè)月與3個(gè)月之間比較雙眼視覺三級(jí)功能及近立體視恢復(fù)的差異無統(tǒng)計(jì)學(xué)意義(P0.05)。 結(jié)論: 1.共同性斜視患者均有不同程度的雙眼視覺損害。 2.共同性斜視術(shù)后雙眼視覺三級(jí)功能及近立體視較術(shù)前均有明顯改善,手術(shù)是恢復(fù)和重建雙眼視覺的有效方法。 3.間歇性外斜視雙眼視覺的恢復(fù)優(yōu)于非調(diào)節(jié)性內(nèi)斜視、恒定性外斜視以及恒定性外斜視伴下斜肌亢進(jìn),而非調(diào)節(jié)性內(nèi)斜視、恒定性外斜視以及恒定性外斜視伴下斜肌亢進(jìn)對(duì)雙眼視覺的影響一致。 4.共同性斜視術(shù)后1個(gè)月與3個(gè)月雙眼視覺的恢復(fù)無顯著差異,雙眼視覺的恢復(fù)在術(shù)后1個(gè)月左右基本穩(wěn)定。
[Abstract]:Objective: to observe the changes of binocular vision in concomitant strabismus patients before and after operation, and to explore the effect of different strabismus types on postoperative binocular visual recovery and the regularity of binocular visual recovery. Methods: from October 2010 to December 2011, 72 concomitant strabismus patients were selected, including 41 males and 31 females, aged between 3 and 36 years. According to the type of strabismus, they were divided into four groups: group 1, concomitant esotropia (n = 13), group 2, intermittent exotropia (n = 27), group 3, constant exotropia (n = 21), group 4, constant exotropia (n = 11) with hypertropism. Eye routine examination, refractive examination, prism and alternate shading method were performed before and after operation respectively. The third degree of binocular vision was examined by the same vision machine, and the near stereopsis acuity was measured by the stereopsis chart drawn by Yan Shaoming. The data of pre-operation, 1st day, 7th day, 1st month and 3rd month were recorded, and the data were analyzed statistically. Results: 1. Comparison of binocular vision in patients with different strabismus types: 1General situation before operation: the age of operation, the age of onset and the degree of strabismus were not significantly different among the four groups (P0.05). Preoperative simultaneous vision and fusion function among the four groups, There was no significant difference between distant stereopsis and proximal stereopsis (P0.05). 2 after operation, the recovery of simultaneous vision in group 2 (23 cases, 85.2%) was significantly better than that in group 1 (7 cases, 53.8%), group 3 (12 cases, 57.1%) and group 4 (group 4, 54.5%), the difference was statistically significant. 3 postoperative grade II fusion function in group 2 (19 cases, 19.3 擄鹵3.1 擄) was significantly better than that in group 1 (5 cases, 38.5 擄鹵4.8 擄), group 3 (9 cases, 42.9 擄鹵3.7 擄) and group 4 (3 cases, 27.312.4 擄鹵7.5 擄), the difference was statistically significant (P0.05). The recovery of distant stereopsis in group 2 (8 cases, 29.6%) was significantly better than that in group 1 (0 cases), the difference was statistically significant (P0.05). 5 the recovery of near stereopsis in group 2 (24 cases, 88.9%) was significantly better than that in group 1 (5 cases, P0.05). 38.5%, group 3 (11 cases, 52.4%) and group 4 (8 cases, 72.7%), the difference was statistically significant (P0.05). Comparison of binocular vision before and after operation: postoperative concomitant strabismus patients had significantly better recovery of binocular visual function and near stereopsis than before operation (P0.05). There was no significant difference in visual function and near stereopsis between 1 month and 3 months after operation (P0.05). Conclusion: 1. Concomitant strabismus patients have different degrees of binocular visual impairment. 2. 2. After concomitant strabismus, the third degree function of binocular vision and the near stereopsis were improved obviously. Surgery is an effective method to restore and reconstruct binocular vision. 3. The recovery of binocular vision of intermittent exotropia was superior to that of non-adjustable esotropia, constant exotropia and constant exotropia with hyper inferior oblique muscle, but not accommodative esotropia. The effects of constant exotropia and constant exotropia with inferior oblique hyperactivity on binocular vision were consistent. 4. There was no significant difference in the recovery of binocular vision between 1 month and 3 months after concomitant strabismus. The recovery of binocular vision was basically stable at about 1 month after operation.
【學(xué)位授予單位】:大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2012
【分類號(hào)】:R779.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 韓明磊;劉桂香;牟麗麗;;不同類型間歇性外斜視手術(shù)前后雙眼視功能變化及手術(shù)方式探討[J];青島大學(xué)醫(yī)學(xué)院學(xué)報(bào);2009年02期

2 王夏虹,皮敏石,陳集玲;共同性外斜視術(shù)后雙眼視功能及眼位臨床觀察(附97例分析)[J];福建醫(yī)藥雜志;2005年04期

3 王玲;王淮慶;;兒童雙眼視覺三級(jí)功能研究現(xiàn)狀與進(jìn)展[J];國(guó)際眼科雜志;2007年03期

4 李恒,曾小平;共同性斜視術(shù)后立體視功能的重建[J];國(guó)際眼科雜志;2008年02期

5 王曦瑯;陶利娟;楊慧玲;王平;熊師;;共同性斜視手術(shù)后雙眼視覺的臨床分析[J];國(guó)際眼科雜志;2009年02期

6 康燁;郝友娟;;不同年齡組的間歇性外斜視術(shù)后雙眼視覺恢復(fù)[J];國(guó)際眼科雜志;2009年06期

7 邱輝;李心瑤;李洪陽;王欣玲;張勁松;;間歇性外斜視術(shù)后雙眼視功能訓(xùn)練[J];國(guó)際眼科雜志;2010年08期

8 曾思明,閆玉梅;下斜肌減弱術(shù)治療外斜V征伴下斜肌功能亢進(jìn)45例分析[J];廣西醫(yī)科大學(xué)學(xué)報(bào);2005年04期

9 于春紅;殷小龍;;雙眼視覺功能的研究進(jìn)展[J];實(shí)用臨床醫(yī)學(xué);2006年05期

10 胡晶晶;孫建寧;;共同性斜視術(shù)后視功能恢復(fù)的相關(guān)因素研究[J];現(xiàn)代醫(yī)學(xué);2010年03期



本文編號(hào):2168928

資料下載
論文發(fā)表

本文鏈接:http://sikaile.net/yixuelunwen/wuguanyixuelunwen/2168928.html


Copyright(c)文論論文網(wǎng)All Rights Reserved | 網(wǎng)站地圖 |

版權(quán)申明:資料由用戶f593b***提供,本站僅收錄摘要或目錄,作者需要?jiǎng)h除請(qǐng)E-mail郵箱bigeng88@qq.com
国产中文另类天堂二区| 国产精品午夜福利在线观看| 一级片黄色一区二区三区| 空之色水之色在线播放| 日韩视频在线观看成人| 久久99亚洲小姐精品综合| 日韩精品人妻少妇一区二区| 国产综合欧美日韩在线精品| 国产又粗又猛又长又大| 在线欧美精品二区三区| 国产丝袜女优一区二区三区| 色无极东京热男人的天堂| 91精品日本在线视频| 中国一区二区三区人妻| 日本男人女人干逼视频| 真实国产乱子伦对白视频不卡| 午夜日韩在线观看视频| 日本成人三级在线播放| 国产高清一区二区不卡| 国内真实露脸偷拍视频| 中文字幕亚洲视频一区二区| 超薄肉色丝袜脚一区二区| 少妇福利视频一区二区| 日韩性生活片免费观看| 国产日韩精品激情在线观看| 欧美性高清一区二区三区视频| 亚洲精品欧美精品日韩精品| 亚洲乱妇熟女爽的高潮片| 日本一区二区三区久久娇喘| 青草草在线视频免费视频| 久久婷婷综合色拍亚洲| 国产一二三区不卡视频| 欧美熟妇喷浆一区二区| 女人高潮被爽到呻吟在线观看| 日韩国产亚洲欧美另类| 欧美精品亚洲精品日韩精品| 色婷婷国产精品视频一区二区保健 | 亚洲国产性生活高潮免费视频| 欧美精品亚洲精品日韩精品| 久久99青青精品免费| 国产午夜免费在线视频|