在双侧直肌后退中使用不可吸收缝线可减少外斜视矫直过度的发生率。

IF 0.8 Q4 OPHTHALMOLOGY
Inbal Gazit, Lior Or, Eran Pras, Yair Morad
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引用次数: 0

摘要

比较可吸收缝线与不可吸收缝线治疗儿童外斜视后双侧直肌收缩(BLR)手术后连续内斜视的发生率。回顾性队列研究。分析了2019年1月至2022年1月在同一医疗中心由同一名外科医生进行BLR手术的所有儿童的医疗记录。采用可吸收缝线或不可吸收缝线。连续内斜视(大于8pd)的发生率是主要结局。总共包括130名儿童。平均年龄6.45±3.13岁,女性占54%。65例患儿采用可吸收缝合线手术,65例患儿采用不可吸收缝合线手术。可吸收组14例(21.5%)发生连续内斜视,不可吸收组5例(7.7%)发生连续内斜视(OR = 3.29, 95% CI = 1.11-9.77;p = .025)。在使用Kaplan - Meier生存分析调整随访时间后,组间差异仍然显著(p = 0.049)。可吸收组有10例(15.4%)儿童因连续内斜视而继发手术,不可吸收组有3例(4.6%)儿童因连续内斜视而继发手术(OR = 3.75, 95% CI = 1.001 ~ 14.628;p = .04)。两组患者均未出现其他并发症。与可吸收缝线相比,在BLR手术中使用不可吸收缝线可减少连续内斜视的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Non-absorbable sutures use in bilateral lateral rectus recession reduces the rate of overcorrection in exotropia.

To compare the incidence of consecutive esotropia post bilateral lateral rectus recession (BLR) surgery using absorbable compared to non-absorbable sutures for the treatment of childhood exotropia. Retrospective Cohort study. Medical records of all children who underwent BLR surgery between January 2019 and January 2022 in a single medical center by a single surgeon were analyzed. Either absorbable or non-absorbable sutures were used. The incidence of consecutive esotropia (greater than 8 PD) was the primary outcome. A total of 130 children were included. The mean age was 6.45 ± 3.13 years, 54% were female. Sixty-five of the children underwent surgery with the use of absorbable sutures and 65 with the use of non-absorbable sutures. Consecutive esotropia occurred in 14 children (21.5%) in the absorbable group and in 5 children (7.7%) in the non-absorbable group (OR = 3.29, 95% CI = 1.11-9.77; p = .025). After adjustment for follow-up time using the Kaplan - Meier survival analysis, the difference between groups remained significant (p = .049). Secondary surgery due to consecutive esotropia occurred in 10 children (15.4%) in the absorbable group and in 3 children (4.6%) in the non-absorbable group (OR = 3.75, 95% CI = 1.001-14.628; p = .04). There were no other complications in either of the groups. The use of non-absorbable sutures in BLR surgery reduces the incidence of consecutive esotropia compared to absorbable sutures.

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来源期刊
Strabismus
Strabismus OPHTHALMOLOGY-
CiteScore
1.60
自引率
11.10%
发文量
30
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