两种上斜肌减弱术矫正伴上斜肌功能亢进斜视的疗效分析

两种上斜肌减弱术矫正伴上斜肌功能亢进斜视的疗效分析

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时间:2019-03-02

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1、天津医科大学硕士学位论文correctionofA—patternandtheA-pattembeforeoperation(,.>0.尸

2、5+6.76)△afteroperation,meancorrectionWas(47.36+17.39)△,therewasalsonosignificantdifferenceincorrectingdownwarddeviationbetweenSTandSR(t=0.38.P>O.05).andtherewaslinearpositiverelationbetweenthecorrectionofdownwarddeviationandthedownwarddeviationbeforeoperation(r>

3、0,P<0.05).However,thedegreeofSOOAwasnotcorrelatedwiththecorrectionofA-pattemf尸>0.05).2.To1caseswithbilateralST,thecombinedFDAofpreoperationand1,30,90daysafteroperationwere(20.23+6.52)oand(7.56+5.81)O,(6.24+6.55)o,(5。68+6.88)。respectively,whiletheSRgroupwere(17.7

4、4+7.89)O,(7.63+4.28)。.(6.05土6.11)O(7.3:3+6.17)O.To7caseswithunilateralST,thecombinedFDAofpreoperationand1,30,90daysafteroperationwere(11.93土7.37)o,and(5.13+4.46)O,(3.78+4.03)o,(4.57士5.05)o,whilethe9caseswithunilateralSRwere(13。40+6。13)O(5。06+3.99)O,(3.59士3.47)O(

5、5.07+3.35)O.Thecomparisionofallpatientsinobjectiveocularcyclotorsionshowedsignificantdifferencepre-andpost·operation(P<0.05),andnosignificantdifferenceafteroperation(P>0.05).TherewasnosignificantdifferenceincorrectingintorsionbetweenSTandSRr尸>O.05).Therewaslinea

6、rpositiverelationbetweenthecorrectionofintorsionandtheintorsionbeforeoperation(,>0,尸O.05).3.Somepatients’binocularvisionfunctionofthesetwogroupwereamelioratedaftersurgery.Thepatients’sym

7、ptomofabnormalheadpositionwereamelioratedeffectivelyafteropel’at+on.ThecomparisionofcomplicationrateshowednosignificantdifferencebetweenSTandSR,however,therewashighercomplicationrateinSTgroup(16.7%)thaninSRgroup(5%).ConclusionI.BothSTandSRproceduresCaneffectivel

8、ycorrectA-paaemwithSOOA,STandSRhadnodifferenceinthecorrectionofA—pattern.2.BothSTandSRproceduresCaneffectivelycorrectintorsionwithSOOA,STTV天津医科大学硕士学位论文andSRhadnodiffe

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