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目的:探讨儿童部分调节性内斜视的手术时机。方法:对78例儿童部分调节性内斜视行矫正术,对比手术前后的立体视功能;分析各种因素对其建立立体视功能的影响。结果:78例中,55例术后获得立体视,功能治愈率为70.5%,早期手术组及具有融合功能组获得立体视显著高于较晚手术组及无融合功能组(P<0.01);发病越早,术后建立立体视的预后越差。结论:儿童部分调节性内斜视与调节因素有关,其由于解剖因素所引起的斜视需手术矫治。当患儿戴全矫镜半年后眼位仍不能正位时,应尽早手术矫正其残存的内斜视。应根据戴全矫眼镜后的眼位决定手术量。术后由于调节因素所致的内斜视仍需戴镜矫正。
Objective: To investigate the timing of partial esotropia in children. Methods: 78 cases of children with partial accommodative esotropia correction surgery, contrast before and after the stereopsis function; analysis of various factors on the establishment of stereopsis function. Results: Of the 78 cases, 55 cases had stereopsis after operation, and the functional cure rate was 70.5%. The stereopsis of the early operation group and the fusion function group was significantly higher than that of the later operation group and no fusion function group (P <0 .01); the earlier the onset, the worse the prognosis of stereopsis after surgery. Conclusion: Partial accommodative esotropia in children is related to the regulatory factors. Strabismus due to anatomical factors is required for surgical correction. When the child wearing a full correction lens six months after the eye position can not be positive, surgical correction of its residual esotropia as soon as possible. Shame should be based on wearing glasses after surgery to determine the amount of surgery. Postoperative esotropia due to regulatory factors still need to wear glasses correction.