上斜肌麻痹在眼外肌麻痹中并非少见。典型病例临床诊断虽不困难,但依麻痹程度的轻重、病程的长短选择适当的手术方式等仍是值得进一步探讨的问题。本文通过对51例上斜肌麻痹的病例分析,提出轻、中、重度麻痹的诊断标准,并对手术方式的选择提出一些看法。 Upper oblique paralysis in the extraocular muscle paralysis is not uncommon. Although the clinical diagnosis of typical cases is not difficult, depending on the degree of paralysis, the duration of the disease to choose the appropriate surgical approach is still worth further study. Based on the analysis of 51 cases of upper oblique muscle paralysis, this paper presents the diagnostic criteria of mild, moderate and severe paralysis and puts forward some opinions on the choice of surgical approach.