目的探讨治疗先天性上斜肌麻痹的最佳手术方式。方法手术治疗先天性上斜肌麻痹23例,其中16例行患眼下斜肌后徙术,4例行患眼下斜肌后徙联合健眼下直肌后徙术,3例患眼下斜肌后徙联合上直肌后徙术。结果术后15例治愈,7例改善。治愈率65.22%,改善率30.43%,总有效率为95.66%。结论术前准确地多次测量斜视角,术中根据眼外肌和节制韧带的解剖结构适当修正手术方案是手术成败的关键。 Objective To explore the best surgical treatment of congenital superior oblique paralysis. [Methods] Twenty-three cases of congenital superior oblique paralysis were treated by surgery. Among them, 16 cases suffered from oblique angioplasty immediately after operation. Joint rectus muscle surgery. Results 15 cases were cured, 7 cases improved. The cure rate was 65.22%, the improvement rate was 30.43%, the total effective rate was 95.66%. Conclusions Accurately preoperatively measuring the angle of view more than once, the key to the success or failure of the operation is to properly correct the surgical plan according to the anatomy of the extraocular muscles and the control ligaments.