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7年来,我科对4例麻痹性内斜视进行了直肌联结术,效果满意。手术方法:沿角膜缘作切口(图1)将上、下、外直肌从止点处沿其走行方向,由中间向后分成两半,至角膜缘后15mm处。用丝线将上直肌颞半与外直肌的上半,下直肌的颞半与外直肌的下半肌腹,在眼球赤道部捆扎在一起,结扎不应过紧,使肌肉接触即可。缝合颞侧球结膜瓣后,剪开鼻侧球结膜(图2)。把内直肌后退5～6mm。
7 years, our department of 4 cases of paralytic esotropia rectus muscle surgery, the effect is satisfactory. Surgical methods: incision along the limbus (Figure 1) will be the upper and lower rectus abdominis along its direction from the stop, from the middle back into two halves, to the limbus 15mm behind. The upper half of the rectus abdominis and the upper half of the rectus abdominis, the lower half of the lower rectus and the lower rectus abdominis of the lower rectus, strapping together in the equator of the eye, the ligature should not be too tight, the muscle contact can. Sutured temporal conjunctival flap, cut open the nasal bulb conjunctiva (Figure 2). Rectus muscle retreat 5 ~ 6mm.