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探讨Duane眼球后退综合征(DRS)的临床特征,鉴别诊断以及手术治疗的方法和效果。对自2003年~2010年16例因DRS行手术治疗的患者资料进行回顾性总结和分析,观察项目包括患者的性别和年龄、DRS类型和临床表现、手术治疗方式和效果。16例患者中,男7例,女9例。左眼受累11例,右眼受累5例,左眼易患病。I型10例;Ⅱ型2例;Ⅲ型4例。12例患者合并内转眼急速上转和(或)下转现象,多为DRS外斜视者。全部16例患者均行单眼内直肌和(或)外直肌后徙术或双眼内直肌后徙术,其中有2例行上直肌后徙术,4例行下斜肌切断术,术后均取得满意效果。典型的DRS诊断并不困难,不同类型DRS的临床表现不同,内转眼上、下转现象多见于DRS外斜视者,详细的术前检查和合理的手术方案设计对眼球后退综合征的治疗具有重要意义。
To investigate the clinical features, differential diagnosis and surgical treatment of Duane’s Recession Syndrome (DRS). From 2003 to 2010, 16 cases of patients undergoing surgical treatment due to DRS were retrospectively reviewed and analyzed. The observation items included the patient’s gender and age, type and clinical manifestations of DRS, surgical treatment methods and effects. Among the 16 patients, there were 7 males and 9 females. Left eye involvement in 11 cases, right eye involvement in 5 cases, left eye susceptible to disease. 10 cases of type I, 2 cases of type II and 4 cases of type III. 12 cases of merger with rapid transit and (or) turn down the phenomenon, mostly outside the DRS exotropia. All 16 patients underwent monocular rectus abdominis and / or lateral rectus or posterior rectus after rectus, including 2 cases of rectus muscle transplantation, 4 cases of oblique incision, After surgery have achieved satisfactory results. A typical diagnosis of DRS is not difficult, different types of DRS clinical manifestations of different, internal rotation of the eye, down more common in the DRS exotropia, a detailed preoperative examination and rational design of the surgical regimen is important for the treatment of retrogressive syndrome significance.