Clifford Terry滑结联合可调节缝合在斜视手术中的应用

摘要

· AIM: To study the clinical application of Clifford Terry slippery knot combined with adjustable suture in strabismus surgery. · METHODS: By adopting the method of retrospective study, from May 2012 to May 2016, 45 patients(71 eyes) underwent conventional strabismus correction and 45 patients(70 eyes) who underwent Clifford Terry slanting correction were selected as control subjects the study subjects. The patients were followed up for 1d-12mo. Observation of postoperative eye, adjusted eye position and whether or not had a second operation were taken. Postoperative eye position was compared with preoperative eye position. · RESULTS: After Clifford Terry suture combined with adjustable suture, 42 cases with 67 eyes reached the anteroposterior position on the first day, one eye reached overcorrection, two eyes undercorrection. Correscted rate was 96%. After elasticity adjusted by Clifford Terry slippage adjustment, corrected rate was 100%. Eye position of the study group at 1, 3, 6 and 12mo postoperative had no significant difference compared with control group. Conjunctival dehiscence, muscle slippage, the postoperative complications such as infection did not appear in the two groups. · CONCLUSION: Clifford Terry technique is simple in operation and easy to adjust the suture tightness after operation. Combined with adjustable suture in strabismus surgery, the target eye position can be easily reached in the operation or early after operation under surface anesthesia, the risk of second operation can be reduced. This operation is better than adjustable suture alone.%目的：探讨Clifford Terry滑结联合可调节缝合在斜视手术中的临床应用。　　方法：采取回顾性研究方法,选取我院2012-05/2015-05收治的行常规斜视矫正术的45例71眼患者(对照组)与应用Clifford Terry滑结斜视矫正术45例70眼患者(研究组)为研究对象,对其术后随访1 d~12 mo。观察术后眼位、有无调整眼位及是否有二次手术,对术后眼位与术前眼位矫正变化情况比较分析。　　结果：术后第1 d Clifford Terry滑结联合可调节缝合达正位42例67眼,1例1眼过矫,2例2眼欠矫,正位率为96%。经过 Clifford Terry 滑结调整松紧,正位率达到100%,研究组1、3、6、12 mo术后眼位情况与对照组矫正正位效果比较未见明显差异。两组均未出现结膜裂开、肌肉滑脱、感染等术后并发症。采用Clifford Terry滑结联合可调节缝合在术中及术后早期对眼位进行微调,可即刻达到目标眼位。　　结论：Clifford Terry滑结术中操作简单、术后调整缝线松紧容易操作,联合可调节缝合在斜视手术的术中及术后早期表面麻醉下即可达到目标眼位,减低术后早期二次手术的风险,优于单纯可调节缝合法。