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目的探讨垂直性斜视的手术方式的选择,评价多种不同垂直性斜视手术方法的效果。方法根据术前诊断和眼外肌功能的情况单独远用或不同组合运用下斜肌减弱术、下斜肌后徙移位术、上直肌减弱术、上直肌截除术、下直肌后徙术、下直肌截除术、上斜肌断腱术、上斜肌腱折叠术。部分患者同时或分次进行了水平斜视矫正手术。结果本组117例中,术后正位102例(87．18％),欠矫13例(11．11％),过矫2例(1．70％)。术前有代偿头位的57例中,术后头位消失50例(87．72％),减轻6例(10．53%),无变化1例(1．75％)。术前57例有双眼单视功能(49．14％),术后增至99例(85．34％)(P<0．001);术前28例有立体视(24．13％),术后增至60 例(51．72％)(P<0．01)。结论良好的手术效果有赖于准确的论断和正确的手术没计。根据需要可以对原在位垂直斜视度<10△的患者进行手术,但如为垂直直肌的手术应尽量在局麻下手术。
Objective To explore the choice of surgical methods of vertical strabismus and to evaluate the effect of many different vertical strabismus methods. Methods According to preoperative diagnosis and extraocular muscle function alone or with different combinations of lower extremity weakening surgery, inferior oblique muscle migration surgery, superior rectus muscle weakening, upper rectus amputation, lower rectus muscle Rehmannia, lower rectus amputation, oblique tendon surgery, oblique tendon folding surgery. Some patients at the same time or level of strabismus surgery. Results Among the 117 cases, 102 cases (87.18%) were posterior position, 13 cases (11.11%) were undercorrected and 2 cases (1.70%) were overcorrected. Fifty-seven cases (87.72%) had head position disappearance, 6 cases (10.53%) had disappeared, and 1 case (1.75%) had no change after operation. Preoperation 57 patients had monocular vision (49.14%), increased to 99 cases (85.34%) after operation (P <0.001); 28 cases had stereopsis (24.13%) before operation, After surgery increased to 60 cases (51.72%) (P <0.01). Conclusion Good surgical results depend on accurate judgment and correct surgery. According to the needs of the original bit in patients with vertical squint <10 △ surgery, but if the vertical rectus muscle surgery should be as local anesthesia surgery.