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目的介绍肌腱松切术合并拮抗肌线状圈套折叠术矫正共同性斜视。方法肌腱松切术在肌止端后５－６ｍｍ处用剪刀从中央向两侧肌缘斜形切开（切开８０％，留两侧肌缘）肌止端斜形切开８０％。拮抗肌线状圈套折叠用０／３号丝线从肌止端中央穿入，另端由肌止端后８－１４ｍｍ处穿出（根据折叠量而定）圈套中央肌肉１－２ｍｍ。结果内斜视３０例，良好率８２％，外斜视３０例，良好率为８３％。肌腱松切术的效果与内直肌后徙５ｍｍ，外直肌后徙８ｍｍ或肌肉边缘切开术的效果相似，联合拮抗肌线状圈套折叠术效果更为可靠。结论此法操作简便，不易引起眼位垂直性偏斜，不易撕裂肌纤维，联合其它肌肉手术时不影响眼前节的血液供应。
Objective To introduce the method of correction of common strabismus with tendon dissection and antagonistic muscle linear trapezoid folding. Methods Musculotendatomy was performed at a position 5-6 mm posterior to the end of myomectomy with a pair of scissors to incline obliquely (80% incision and left margin of muscle) to 80% incision. Antagonistic muscular trapezoid folding loop with No. 0/3 from the thread into the center of the myring, and the other end by the end of the muscle piercing 8-14mm Department piercing (depending on the amount of folding) trap the central muscle 1-2mm. Results 30 cases of esotropia, good rate of 82%, 30 cases of exotropia, a good rate of 83%. The effect of tendon resection resection with rectus muscle 5mm, rectus muscle retraction after 8mm or muscle edge resection effect is similar, combined antagonistic muscle linear trapezoidal folding effect more reliable. Conclusion This method is simple, easy to cause vertical deviation eye position, easy to tear muscle fibers, combined with other muscle surgery does not affect the anterior segment of the blood supply.