Wan Xiaomei, Wan Luqin, Jiang Mingming, Ding Yichao, Wang Yuan, Zhang Jing
Qingdao Eye Hospital of Shandong First Medical University, No. 5 Yan'er Dao Road, Shinan District, 266071, Qingdao, Shandong, China.
State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University& Shandong Academy of Medical Sciences, No. 5 Yan'er Dao Road, Shinan District, 266071, Qingdao, Shandong, China.
BMC Ophthalmol. 2021 Jan 14;21(1):40. doi: 10.1186/s12886-021-01805-w.
To evaluate the distribution pattern and changes of strabismus surgery in northern China.
The records of strabismus patients at Qingdao Eye Hospital from January 2014 to December 2019 were reviewed retrospectively. The characteristics analyzed included gender, regional distribution, constituent ratio of age and type of strabismus. Changes during the periods 2014-2016 and 2017-2019 were compared and analyzed.
A total of 5746 strabismus patients were recruited. The number of strabismus patients was relatively stable each year from 2014 to 2016 but gradually increased each year from 2017 to 2019. Of these, 51.7% (2968/5746) were male, and 48.3% (2778/5746) were female. The majority (89.8%, 5159/5746) of the patients were from Shandong Province. The statistical results of the constituent ratio of age showed that 32.4% (1860/5746) were 7-12 years old (primary school level). Patients under 12 years of age (preschool and primary school level) accounted for 60.0% (3447/5746) of all the patients. In terms of the types of strabismus, exotropia accounted for 63.5% (3650/5746), followed by esotropia and vertical rotational strabismus at 13.2% (758/5746) and 9.7% (555/5746), respectively. Intermittent exotropia was the most common type among the exotropia patients, accounting for 71.3% (2604/3650). Among the patients with intermittent exotropia, 62.5% (1627/2604) were children aged 4-12 years, and the basic type of intermittent exotropia was the main type. Four percent (231/5746) of the patients, of which adult patients comprised the main population, required reoperation.
Patients with strabismus at primary school level comprised the largest group of strabismus patients in north China. Exotropia was the most common type of strabismus, and intermittent exotropia was the most common type of exotropia. The rate of exotropia to esotropia was 5:1.
评估中国北方斜视手术的分布模式及变化情况。
回顾性分析2014年1月至2019年12月在青岛眼科医院就诊的斜视患者记录。分析的特征包括性别、地区分布、年龄构成比及斜视类型。对2014 - 2016年和2017 - 2019年期间的变化进行比较和分析。
共纳入5746例斜视患者。2014年至2016年每年斜视患者数量相对稳定，但2017年至2019年逐年逐渐增加。其中，男性占51.7%（2968/5746），女性占48.3%（2778/5746）。大多数患者（89.8%，5159/5746）来自山东省。年龄构成比统计结果显示，7 - 12岁（小学阶段）患者占32.4%（1860/5746）。12岁以下（学龄前及小学阶段）患者占所有患者的60.0%（3447/5746）。在斜视类型方面，外斜视占63.5%（3650/5746），其次是内斜视和垂直旋转斜视，分别占13.2%（758/5746）和9.7%（555/5746）。间歇性外斜视是外斜视患者中最常见的类型，占71.3%（2604/3650）。在间歇性外斜视患者中，62.5%（1627/2604）为4 - 12岁儿童，且间歇性外斜视基本型为主要类型。4%（231/5746）的患者需要再次手术，其中成年患者占主要人群。
小学阶段的斜视患者是中国北方斜视患者中最大的群体。外斜视是最常见的斜视类型，间歇性外斜视是最常见的外斜视类型。外斜视与内斜视的比例为5:1。
