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目的对直肌1/2转位术在斜视手术中的应用进行评价。方法对10例共同性斜视,20例麻痹性斜视应用直肌1/2转位术的矫正结果进行临床分析。结果共同性斜视10例,术后正位者6例,4例±15△,眼球运动正常,无复视者,术后满意率100%。完全麻痹性斜视20例,术后正位者16例,4例低矫。水平肌麻痹术后运动恢复转动平均10°。垂直肌麻痹术后运动恢复均为5°。术前12例后天性麻痹性斜视有复视,术后在正前方有限视野内复视消除。先天性者手术前后均无复视。术后满意率80%。结论直肌1/2转位术应用于残余性共同性斜视与完全麻痹性斜视能够获得满意的效果。
Objective To evaluate the application of rectus femoris muscle transposition in strabismus surgery. Methods The clinical results of 10 cases of common strabismus and 20 cases of paralytic strabismus using rectus femoris 1/2 transposition were analyzed. Results 10 cases of common strabismus, postoperative positive in 6 cases, 4 cases of ± 15 △, normal eye movement, no double vision, postoperative satisfaction rate of 100%. Totally 20 cases were completely paralytic strabismus, 16 cases were positive after operation and 4 cases were low correction. Horizontal muscle paralysis after exercise recovery average 10 ° rotation. Vertical muscle paralysis after exercise recovery were 5 °. Preoperative 12 cases of acquired paralytic strabismus with diplopia, postoperative anterior limited vision in the diplopia. No congenital surgery before and after diplopia. Postoperative satisfaction rate of 80%. Conclusion Rectus 1/2 transposition can be used to achieve satisfactory results in residual common strabismus and complete paralytic strabismus.