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目的探讨水平直肌移位治疗水平斜视伴小角度垂直斜视效果。方法对我院56例(103只眼)水平斜视合并小角度垂直斜视者,在行内、外直肌缩短或徙后手术同时,将附着点上下移位。结果 56例(103只眼)中,30例垂直斜度5-7△,将单眼水平直肌垂直移位5mm,平均矫正垂直斜度5.78±0.57△,疗效较好。21例垂直斜度8-20△将水平直肌垂直上下移位6-7mm,平均矫正垂直斜度6.69±0.91△,其中6例垂直斜度15-20△,欠矫。5例不伴有下斜肌异常V型外斜者,垂直斜度为7-20△,将双眼外直肌徙后并同时向上移位6-7mm,获得较好效果。结论水平肌移位治疗水平斜视伴小角度垂直斜视及不伴有下斜肌异常的V型外斜视获得满意效果。
Objective To investigate the effects of horizontal rectus muscle transposition on horizontal strabismus with small-angle vertical strabismus. Methods 56 cases of our hospital (103 eyes) horizontal strabismus combined with small angle vertical strabismus, in the line, the lateral rectus shortening or resettlement surgery at the same time, the attachment point up and down shift. Results Among the 56 cases (103 eyes), the vertical gradient of 30 cases was 5-7 △. The horizontal rectus muscles of the eyes were vertically displaced by 5mm, and the average vertical deviation of correction was 5.78 ± 0.57 △. The curative effect was good. 21 cases of vertical gradient of 8-20 △ horizontal rectus vertically up and down shift 6-7mm, the average vertical correction of correction 6.69 ± 0.91 △, of which 6 cases of vertical slope 15-20 △, undercorrection. 5 cases without inferior oblique oblique V-shaped outsiders, the vertical gradient of 7-20 △, the external rectus binocular migration and at the same time upward displacement of 6-7mm, get better results. Conclusion The level of muscle shift in the treatment of horizontal strabismus with small angle vertical strabismus and without inferior oblique oblique V-type exotropia obtained satisfactory results.