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目的 :讨论一种合理的双侧上斜肌麻痹分类方法 ,加强对隐蔽型双侧上斜肌麻痹的认识。方法 :回顾总结了 48例双侧上斜肌麻痹病人 ,按WilliamE .Scott的分类法对其临床特点进行分析。结果 :双侧上斜肌麻痹具有与单侧麻痹相似的体征 ,根据眼球运动特点进行的双侧上斜肌麻痹分类 ,与手术治疗有着重要关系 ,尤其对于隐蔽型双侧上斜肌麻痹 ,术前即可准确估计预后。结论 :双侧上斜肌麻痹的正确诊断和分类对正确治疗具有重要意义 ,隐蔽型应引起临床医生的重视
OBJECTIVE: To discuss a reasonable classification of bilateral supraspinatus paralysis and to reinforce the understanding of occult bilateral supraspinatus paralysis. Methods: A retrospective review of 48 cases of bilateral upper oblique paralysis patients, according to William E. Scott’s classification of its clinical features were analyzed. Results: The bilateral supraspinatus paralysis with unilateral paralysis similar signs, according to the characteristics of eye movements bilateral upper oblique paralysis classification, and surgical treatment has an important relationship, especially for the occlusion of bilateral upper oblique paralysis, surgery The prognosis can be accurately estimated before. Conclusion: The correct diagnosis and classification of bilateral supraspinatus paralysis is of great importance to the correct treatment, and the occult type should attract clinicians’ attention