论文部分内容阅读
本文分析了上斜肌麻痹手术76例(78眼),并对术式选择进行了探讨。其中先天性53例、后天性23例。行下斜肌减弱术56眼,其中联合健眼下直肌或患眼上直肌后徙术34眼;上斜肌前部前徙术15眼;健眼下直肌后徙术3眼;患眼上直肌后徙术4眼。治愈61眼(78.2%)。提出有下斜肌功能过强的先天性麻痹首选下斜肌减弱术,以外旋转偏斜为主的后天性麻痹首选患眼上斜肌前部前徙术。二种方法均需酌情联合健眼下直肌或患眼上直肌后徙术。
76 cases (78 eyes) of supracervial paralysis were analyzed in this paper, and the choice of surgical procedure was discussed. Including congenital 53 cases, acquired in 23 cases. Under the line of inferior oblique reduction in 56 eyes, which combined with the eye under the eye rectus or rectus retroflexia surgery 34; upper anterior oblique anterior migratory surgery 15; Rectus muscle surgery after 4 eyes. 61 eyes were cured (78.2%). Proposed hypothalamic hyperfunctioning congenital paralysis preferred inferior oblique muscle weakening surgery outside rotation skew predominant paralysis with the preferred front oblique oblique front anterior surgery. Both methods are required, as appropriate, combined with eye rectus muscle or rectus after rectus surgery.