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目的探讨上斜肌折叠前徙术治疗单眼先天性上斜肌麻痹的远期疗效。方法对28例单眼先天性上斜肌麻痹患者,采用上斜肌折叠前徙术治疗,对术后远期治疗效果进行分析。随访时间平均22.6个月。结果 28例患者术后第一眼位的垂直斜视0-5~Δ,平均2.35~Δ±2.05~Δ;术后23例(82.1%)代偿头位消失。患者第一眼位、患眼上斜肌功能眼位及下斜肌功能眼位垂直度术前术后比较均有显著差别。结论上斜肌折叠前徙术能有效地加强麻痹的上斜肌功能,术后远期眼位比较稳定,是治疗上斜肌麻痹的有效术式。
Objective To investigate the long-term effect of supraspinatus pre-folding surgery in the treatment of monocular congenital superior oblique paralysis. Methods 28 cases of monocular congenital superior oblique paralysis patients, the use of upper oblique muscle fold preoperative treatment, postoperative long-term treatment effect analysis. The average duration of follow-up was 22.6 months. Results The vertical position of the first position of the 28 patients was 0-5 ~ Δ, with an average of 2.35 ~ Δ ± 2.05 ~ Δ. Twenty-three patients (82.1%) disappeared after the operation. Patients in the first position, the affected eye oblique position and lower oblique eye position eye function vertical and vertical postoperative comparison were significant differences. Conclusion The superior oblique preoperative folding surgery can effectively enhance the paralysis of the upper oblique muscle function, long-term postoperative stability of the eye position is effective in the treatment of supraspinatus paralysis.