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目的探讨上斜肌转位手术治疗动眼神经麻痹的临床效果。方法回顾我院1999年1月～2007年9月采用上斜肌转位术矫正动眼神经麻痹所致重度外斜视病例,并观察分析。结果20眼动眼神经麻痹行外直肌后退,内直肌折叠,上斜肌转位术。下斜视者3眼加下直肌后退术,上斜视6眼二次手术行上直肌超常量后退及下直肌超常量缩短术。患者外观取得满意效果,随访6月～3年眼位无明显改变。结论上斜肌转位术矫正动眼神经麻痹性斜视是可行的。
Objective To investigate the clinical effect of transposition of upper oblique muscle on oculomotor nerve paralysis. Methods From January 1999 to September 2007, we retrospectively analyzed the cases of severe exotropia caused by oculomotor nerve paralysis using upper oblique muscle transposition. Results 20 cases of oculomotor nerve paralysis line rectus receding, medial rectus fold, oblique transposition surgery. Lower esotropia 3 rectus plus rectus plus rectus, upper rectus 6 rectus abdominis rectus abdominis surgery and lower rectus abscess shortening surgery. Satisfactory results in patients with appearance, follow-up 6 months to 3 years no significant change in the eye position. Conclusion Upper oblique transposition is feasible for correction of oculomotor paralytic strabismus.