摘要
目的探讨治疗先天性上斜肌麻痹的最佳手术方式。方法对先天性上斜肌麻痹24例患者,根据垂直斜视度数分别行下斜肌截腱术(截腱术),下斜肌后徙转位前徙术(前徙转位术)和下斜肌后徙转位前移联合上、下直肌手术(联合手术)。结果治愈好转率达91.6%,行截腱术者10眼,平均矫正(8.23±4.22)°;前徙转位术9眼,平均矫正(14.05±5.72)°;联合手术5眼,平均矫正(21.00±9.80)°。结论治疗先天性上斜肌麻痹主要目的是矫正斜视,尽可能获得最大的融合功能,消除代偿头位。准确测量斜视角是保证手术成败的关键。
Objective To explore the optimum surgical treatment of congenital paralysis of superior oblique muscle, Methods 24 cases received tenotomy of inferior oblique muscle, retroposition and then antedisplacement of the inferior oblique muscle, and operation on superior and inferior rectus muscles combined with antedisplacement according to vertical degrees of squint. Results 91.6 % of these cases got improved. 10 eyes received tenotomy with the average corrected degrees being （8.23 ± 4.22）°. 9 eyes got transposition operation with average corrected degrees being （21.00 ± 9.80）°. 5 eyes got combined treatment with the average corrected degrees being （21.00 ± 9.80）°. Conclusion The main purpose too treat congenital paralysis of superior oblique muscle is to get orthopia and to obtain the optimum fusion. Accurate measurement of the angle of squint can ensure the success in operations.
出处
《山东医学高等专科学校学报》
2007年第2期89-91,共3页
Journal of Shandong Medical College
关键词
上斜肌麻痹
斜视
手术治疗
Oculomtor muscle
Congenital paralysis of superior oblique muscle
Operation
