目的　探索治疗分离性垂直偏斜 (DVD)的最佳手术方式。方法　对 96例 1 81眼DVD患者应用上直肌后退术 ,上直肌后退联合后固定缝线术 ,下斜肌转位及及上直肌后退联合下斜肌转位术进行随机分组治疗 ,对结果进行回顾性分析。结果　后退组近期效果良好者 67 39% ,远期 58 82 %。后退 +后固定组近期效果良好者 82 69% ,远期 80 56% ;下斜肌转位组近期效果良好者 65% ,远期56 67% ;上直肌后退 +下斜肌转位组近期效果良好者 83 72 % ,远期 81 2 5%。结论　单独上直肌后退和下斜肌转位术治疗DVD不如后退 +后固定缝线组及后退 +下斜肌转位组效果可靠 Objective To explore the best surgical method for the treatment of vertical segregation (DVD). Methods A total of 96 eyes of 81 DVD patients undergoing upper rectus, upper rectus, posterior oblique suture, inferior oblique muscle transposition and superior rectus combined with inferior oblique muscle transposition were randomly divided into groups. Retrospective analysis of the results. The results of the receding group the recent good results 67 39%, forward 58 82%. In the retrograde + posterior fixation group, 82 69% and 80 56% of long-term follow-up results were achieved. The recent results of inferior oblique muscle transposition group were 65% and 56 67% respectively. The superior rectus retrograde + Good effect of 83 72%, long-term 81 2 5%. Conclusion The superior rectus and inferior oblique muscle transposition alone treatment of DVD is not as good as the retrograde + posterior fixation suture group and retrograde + inferior oblique transposition group