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分析先天性上斜肌麻痹所致的眼性斜颈35例,术前测量第一眼位和头倾向患眼侧时的垂直偏斜度。此两者之和小于35△时只作患眼下斜肌减弱术,大于35△时作患眼下斜肌减弱术的同时作上直肌后徙术。术后斜颈消失,垂直偏斜小于5△者30例(86%),认为在眼性斜颈治疗中,患眼上直肌后徙术是效果可靠而可行的手术方法,其后徙量为13~14△/mm为宜。
35 cases of ocular torticollis caused by congenital superior oblique paralysis were analyzed. The vertical skewness of the first ocular position and the head orientation of the occipital lobe was measured preoperatively. The sum of the two is less than 35 △ only for the affected eyes oblique muscle weakening, greater than 35 △ for the moment suffering from oblique muscle weakening at the same time for rectus muscle surgery. Postoperative oblique disappeared, the vertical deflection of less than 5 △ in 30 cases (86%), that in the treatment of ocular torticollis, the affected eye rectus posterior reimplant surgery is a reliable and feasible surgical method, the amount of its back For 13 ~ 14 △ / mm is appropriate.