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斜视手术时,缝针穿孔是非常危险的,可以导致严重的眼内并发症。Jamposky(1970)对手术治疗斜视,再次介绍调整缝线技术。严格说,这一术式对术后早期局麻下不能调整的患儿是不适合的。然而,尽管肌腱没有直接缝于巩膜上,但在两个组织之间可以迅速产生粘连,24小时之内,缝线可以再做调整。Fell(1981)将调整缝线加以改进,称为直肌环形后徙术(Loop reces-sion)。本文对37例共同性斜视病人行直肌环形后徙术,认为此方法安全有效易行,与常规后徒效果相同,现报告如下:
Stitch puncture is very dangerous when strabismus surgery, can lead to serious intraocular complications. Jamposky (1970) on surgical treatment of strabismus, again introduced the adjustment suture technique. Strictly speaking, this procedure is not suitable for children who can not be adjusted under local anesthesia in the early postoperative period. However, although the tendon is not sewn directly to the sclera, adhesions can develop rapidly between the two tissues and the suture can be adjusted within 24 hours. Fell (1981) will be adjusted to improve the suture, known as the rectus muscle ring loop (Loop reces-sion). 37 cases of common strabismus in patients with rectus abdominis circular posterior migration, that this method is safe and effective, with the same effect as conventional followers, are as follows: