目的探讨先天性上斜肌麻痹的临床表现、常用检查方法及手术选择的基本原则。方法对40例上斜麻痹患者的不同手术方式进行分析结果40例患者术后随访一年,治愈34例,好转4例,无效2例。结论先天性上斜肌麻痹是垂直眼外肌麻痹中最常见的一种,手术术式选择首选减弱直接拮抗肌和配偶肌,伴内、外斜视者行下斜肌手术同时行内外斜视矫正。 Objective To investigate the clinical manifestations of congenital superior oblique paralysis, the commonly used methods of examination and the basic principles of surgical selection. Methods 40 cases of patients with upper circulatory paralysis in different surgical analysis results 40 patients were followed up for one year, 34 cases were cured, improved in 4 cases, 2 cases. Conclusions Congenital superior oblique paralysis is the most common type of vertical extraocular muscle paralysis. Surgery is the preferred method to weaken direct antagonistic muscle and splenic muscle. In-exotropia and inferior oblique patients underwent lateral oblique correction surgery simultaneously.