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倾斜与传统的双边横向直肠衰退在与收不充分性间歇性外的儿童:一个多中心,随机试验

Jing Yao¹, Xiying Wang¹, Chenhao Yang²

¹Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, 83 Fenyang Road, Shanghai, China.

Asia-Pacific journal of ophthalmology (Philadelphia, Pa.)

|January 9, 2026

概括

斜双侧直肠衰退手术 (S-BLR) 显示了改善近视结果的希望在儿童与收不足间歇性外观变异 (CI-IXT),尽管与传统手术相比,相似的整体成功率.

科学领域:

眼科医生眼科眼科
眼手术整形外科
儿科眼科护理儿科眼科护理

背景情况:

收性缺陷间歇性外向性 (CI-IXT) 是儿童常见的一种斜视状况.
手术正旨在改善双眼视力和减少外偏差.
评估像S-BLR这样的新手术技术对于优化治疗结果至关重要.

研究的目的:

为了比较斜双侧直肠衰退 (S-BLR) 与常规双侧直肠衰退 (C-BLR) 在治疗CI-IXT的疗效.
为了评估手术后的12个月整体成功率和特定近视参数.

主要方法:

一个多中心,随机对照试验,涉及188名中国儿童 (5-12岁) 用CI-IXT.
参与者被随机分配到S-BLR或C-BLR (1:1比).
主要结局:12个月总体成功率 (术后偏差在10Δ外偏差以内至5Δ外偏差和近距离差异 (NDD) <10Δ).

主要成果:

在12个月的总体成功率在S-BLR和C-BLR组之间是相似的 (P=0.27).
S-BLR显示了接近低校正的较低趋势 (P=0.06) 和显著改善的接近外偏差控制 (P<0.001).
S-BLR显示了NDD的较大减少 (P=0.001) 和更高比例的改善立体急性 (P=0.06).

结论:

虽然整体成功率相似,但S-BLR似乎为患有CI-IXT的儿童提供了优越的近视益处.
需要对更大的队列进行进一步研究,包括那些NDD> 15Δ的队列,并进行更长的随访.
S-BLR是管理CI-IXT的潜在有利的外科选择,特别是在近点症状方面.

关键词:

收不充分的趋同现象间歇性的外热性.近距离差异差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差距差倾斜的经济衰退倾斜的经济衰退

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