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目的探讨影响共同性外斜视手术治疗效果的相关因素。方法对76例共同性外斜视患者进行常规检查及手术治疗,基本型和外展过强型以外直肌后徙为主,集合型以缩短内直肌为主,并对其术后眼位及融合功能等进行观察和分析。结果本组76例共同性外斜视术后正位者62例(81.58%),矫正不足11例(14.47%),过度矫正3例(3.95%)。术前无融合功能60例,术后有50例建立了双眼单视功能。结论共同性外斜视的手术矫正的疗效与诸多因素有关,术前、术中和术后都要充分考虑融合功能的作用,术前患者有无融合力对术后眼位至关重要,术中应根据患者的融合功能强弱灵活掌握手术量,术后训练融合力也是巩固眼位的重要措施。
Objective To explore the influencing factors of surgical treatment of common exotropia. Methods 76 patients with common exotropia were routinely examined and surgically treated. Retrograde rectus abdominis was the predominant type and overreach type. The dominant type was shortened medial rectus muscle. Fusion features such as observation and analysis. Results Of the 76 patients (81.58%) who underwent common exotropia, they were corrected in less than 11 cases (14.47%) and overcorrected in 3 cases (3.95%). Preoperative non-fusion function in 60 cases, 50 cases after the establishment of binocular vision function. Conclusions The efficacy of surgical correction of common exotropia is related to many factors. The function of fusion function should be fully considered before, during and after surgery. Should be based on the patient’s ability to flexibly grasp the merging of surgical capacity, postoperative training fusion is also an important measure to consolidate the eye position.