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上斜肌麻痹在垂直斜视中占有重要位置,由于肌肉的继发改变,常合并同侧下斜肌功能过强,表现为当双眼向侧方运动时,处于内转位的麻痹眼明显上斜,而下斜肌减弱术为治疗这种斜视的首选方法,其中下斜肌切断术操作简单,对组织损伤小,并发症少,在临床被广泛应用,但对其手术效果的定量分析,文献报告尚少,我们观察了30例上斜肌麻痹合并下斜肌功能过强的患者,均行单纯的下斜肌切断术,取得良好效果,现报告如下:
Upper oblique paralysis occupies an important position in vertical strabismus, due to the secondary changes in muscle, often combined with ipsilateral lower oblique muscle function too strong, manifested as lateral movement of both eyes, in the translocation of the paralyzed eye was significantly inclined , While the inferior oblique muscle weakening is the preferred method of treatment of such strabismus, in which the inferior oblique muscle resection is simple, less tissue damage, fewer complications, is widely used in clinical practice, but the quantitative analysis of the surgical results, the literature The report is still small, we observed in 30 cases of supraspinatus paralysis associated with inferior oblique function in patients with hyperextension, were undergoing simple inferior oblique muscle resection, achieved good results, are as follows: