目的探讨伴斜肌功能亢进A-V综合征的临床特征及手术矫正效果。方法58例患者均行下斜肌或上斜肌减弱术(下斜肌切断或部分切除术、上斜肌断腱术)+水平肌手术,观察术前术后眼位及斜肌功能。结果下斜肌、上斜肌减弱术治疗58例伴斜肌功能亢进A-V综合征患者,手术后A-V征均得到矫正,9例伴代偿头位有不同程度改善,4例术后尚残留；轻度水平斜视,疗效满意。斜肌减弱术是治疗伴斜肌功能亢进A-V综合征的有效手术方式。 Objective To investigate the clinical features and surgical correction of A-V syndrome with oblique muscle hypertrophy. Methods 58 cases of patients underwent oblique or upper oblique muscle weakening (inferior oblique muscle resection or partial resection, oblique muscle tendon surgery) + horizontal muscle surgery to observe the preoperative and postoperative ocular position and oblique muscle function. Results Lower oblique and upper oblique muscle weakening were used to treat 58 patients with hyperthyroidism with AV syndrome. After the operation, the AV signs were corrected, 9 cases with compensatory head position improved to some extent, and 4 cases remained after operation. Mild horizontal strabismus, the effect is satisfactory. Oblique muscle weakening is an effective surgical treatment of A-V syndrome with hyperthyroidism.