目的比较外直肌倾斜后徙术(S-BLR)和传统外直肌后徙术(C-BLR)治疗集合不足型间歇性外斜视的疗效。方法检索PubMed、Cochrane Library、EmBase、Web of Science和中国知网、万方、维普数据库中自建库起至2023年11月发表的相关研究,比较S-BLR与C-BLR的手术效果,以OR值和95%CI表示,并采用随机效应模型对手术的成功率、复发率、过矫率和立体视改善率等进行分析。结果共纳入5项研究,涉及296例患者。S-BLR手术的成功率明显高于C-BLR(OR=4.06,95%CI:2.47~6.67,P<0.001),接受C-BLR手术的患者复发率更高(OR=0.21,95%CI:0.08~0.52,P<0.001)。S-BLR和C-BLR手术的过矫率(OR=0.43,95%CI:0.07~2.52,P=0.35)和立体视改善率(OR=0.82,95%CI:0.36~1.83,P=0.62)比较差异无统计学意义(P>0.05)。结论S-BLR手术对治疗集合不足型间歇性外斜视患者具有较高的成功率和较低的复发率。
目前,我国集合不足型间歇性外斜视(CI-IXT)患病率逐年增加,其治疗方法包括手术治疗和非手术治疗,而手术治疗是主要的治疗方式。本文通过回顾分析近年来对于CI-IXT的临床研究及相关成果,从流行病学、发病机制、非手术治疗及手术治疗等方面出发,为CI-IXT的治疗作一综述,希望为临床工作中CI-IXT治疗方案的选择提供帮助。At present, the prevalence rate of convergence insufficiency-type intermittent exotropia (CI-IXT) is increasing year by year in our country. The treatment methods include the operation treatment and non-surgical treatment, while the operation treatment is the main treatment. By reviewing the clinical research and related results of CI-IXT in recent years, this article reviews the treatment of CI-IXT from the aspects of epidemiology, pathogenesis, non-surgical treatment and operative treatment, hoping to provide help for the selection of CI-IXT treatment in clinical work.
