目的 :探讨V型斜视不同术式的治疗效果。方法 :采用直肌附着点垂直移位及下斜肌部分切除两种方法治疗V型斜视。结果 :V型外斜视 12例采用直肌垂直移位术 ,术后原在位平均 - 5° ,向上平均 -15△ ,向下平均 - 8△ ,采用下斜肌部分肌除术 8例 ,术后原在位平均 - 5° ,向上平均 - 10 △ ,向下平均 - 5△ 。V型内斜视 8例采用下斜肌部分切除术 ,术后原在位平均 + 5° ,向上平均 + 8△ ,向下平均 + 16 △ ,采用直肌垂直移位术 ,术后原在位平均 + 10° ,向上平均 + 8△ ,向下平均 + 10 △ 。结论 :V型斜视采用下斜肌部分切除术和直肌附着点移位术均能取得较好的治疗效果 Objective: To investigate the therapeutic effect of different surgical procedures of V-type strabismus. Methods: Vertebral attachment point vertical displacement and partial oblique removal of two methods of treatment of V-type strabismus. Results: 12 cases of V type exotropia were treated with vertical muscle rectusion. The mean value of postoperative VAS - 5 °, average upward - 15 △, average downward - 8 △, partial myomectomy with inferior oblique muscle in 8 cases, The original postoperative average - 5 °, upward average - 10 △, downward average - 5 △. V type esotropia in 8 cases with partial oblique resection, the original position after the average +5 °, up an average of +8 △, down an average of +16 △, the use of vertical muscle rectus surgery, the original mean + 10 °, upward average + 8 △, downward average + 10 △. Conclusion: V-type strabismus with inferior oblique partial resection and rectus muscle attachment point shift can achieve better therapeutic effect