论文部分内容阅读
目的探讨二种下斜肌减弱术在先天性上斜肌麻痹治疗中的效果。方法85例先天性上斜肌麻痹患者,33例垂直眼位<15~Δ行下斜肌部分切除术,52例垂直眼位>15~Δ行下斜肌移位术。结果85例患者中垂直眼位<15~Δ行下斜肌部分切除术者,治愈及好转29人(87.9%),>15~Δ行下斜肌转位术者,治愈及好转41人(78.8%)。术前有代偿头位者均消失或改善。结论先天性上斜肌麻痹垂直眼位<15~Δ可行下斜肌部分切除术,>15~Δ者可行下斜肌移位术。
Objective To investigate the effect of two kinds of inferior oblique muscle weakening in congenital superior oblique paralysis. Methods 85 cases of congenital superior oblique paralysis patients, 33 cases of vertical eye position <15 ~ Δ line under partial oblique resection, 52 cases of vertical eye position> 15 ~ Δ line oblique shift. Results In 85 patients, the vertical position of the lower eye was <15 °, the lower part of the lower oblique muscle was resected, the cured and improved were 29 (87.9%), the lower oblique transferred> 15 °, the cured and the improved 41 78.8%). Preoperative compensatory head who disappeared or improved. Conclusions Congenital superior oblique muscle paralysis can be performed under the condition of vertical eye position <15 ~ Δ, and partial oblique surgery more than 15 ~ Δ is feasible.