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目的 :评价不同手术方式对先天性上斜肌麻痹的治疗效果。方法 :对我院近年来收治的 5 5例先天性上斜肌麻痹患者的手术方式和疗效作回顾分析。结果 :5 5例中总有效 48例 (87.3 % ) ,术后代偿头位消失或明显改善 35例 (83 .3 % )。术后出现Brown综合征 2例。结论 :下斜肌断腱术与下斜肌后徙术具有同样的矫正效果。上斜 >30 △ 可采用下斜肌转位术。对于合并有水平斜视的患者 ,同时采用下斜肌减弱手术和水平斜视矫正术 ,可以减少手术的次数
Objective: To evaluate the effect of different surgical methods on congenital superior oblique paralysis. Methods: A retrospective analysis was performed on the surgical methods and curative effect of 55 patients with congenital superior oblique paralysis treated in our hospital in recent years. Results: Of the 55 cases, 48 cases (87.3%) were effective, 35 cases (83.3%) disappeared or improved significantly after the operation. Brown syndrome appeared after surgery in 2 cases. Conclusion: The inferior oblique muscle tendon surgery has the same correction effect with inferior oblique muscle posterior approach. On the ramp> 30 △ can be inferior oblique muscle transposition. For patients with horizontal strabismus, while using the lower oblique muscle surgery and horizontal strabismus surgery, you can reduce the number of operations