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目的观察部分悬吊法在parks切口直肌徙后术中使用的效果。方法分悬吊组和对照组(对照组不悬吊),悬吊组缝合点位于肌止端后3mm,悬吊一定量,以达到总的徙后量。结果悬吊组切口平均6.2mm,对照组切口平均9.6mm。悬吊组切口无需缝合,对照组切口做单纯连续缝合,均未见筋膜脱垂,结膜切口均I/甲愈合。悬吊组直肌一次钩不全占19.4%,对照组直肌钩不全占13.5%。悬吊组术后正位率83.7%,对照组术后正位率84.4%。两组术后均未产生新的垂直斜视。结论悬吊法在parks切口直肌徙后术中的使用可减小手术切口、使切口无需缝合。
Objective To observe the effect of using partial suspension method in the operation of direct incision rectus muscle in parks. Methods The suspension group and the control group (control group not suspended), the suture group in the suspension group is located 3mm after the muscle end, a certain amount of suspension in order to achieve the total amount of migration. Results The average number of incisions in the suspension group was 6.2 mm, while the average number of incisions in the control group was 9.6 mm. No need for suture suspension group incision, the control group incision to do a simple continuous suture, no fascia prolapse, conjunctiva incision I / A healing. The suspension group rectus hook once accounted for 19.4%, control group rectus hook incomplete accounted for 13.5%. The postoperative positive rate was 83.7% in the suspension group and 84.4% in the control group. Neither of the two groups produced a new vertical strabismus. Conclusion suspension method in the cutting incision straight rectus muscle operation can reduce the surgical incision, the incision without suture.