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目的探讨残余性斜视的原因及再次手术的方法。方法对58例残余性斜视患者,根据术前病史及相关检查,合理设计手术方案。利用显微微创技术进行手术。术中充分分离肌肉周围组织的粘连瘢痕,结合探查肌肉附着点与原肌肉解剖位置的关系,予执行及修改手术方案。结果完全功能治愈13例,临床治愈42例,2例欠矫,1例过矫,总治愈率达94.82%。结论残余斜视的发生,与术前检查不充分、手术设计不合理、术中操作粗糙致组织粘连、双眼单视功能缺陷及术者的经验不足等诸多因素有关。
Objective To investigate the causes of residual strabismus and the method of reoperation. Methods 58 cases of residual strabismus patients, according to preoperative history and related tests, rational design of surgical options. Use of minimally invasive techniques for surgery. Intraoperative separation of adhesions scar tissue around the muscle, combined with exploration of muscle attachment points and the relationship between the original anatomical location of the muscle, to implement and modify the surgical options. Results The complete function of cure in 13 cases, 42 cases of clinical cure, 2 cases of undercorrection, 1 case of overcorrection, the total cure rate was 94.82%. Conclusions The occurrence of strabismus is related to the inadequate preoperative examination, unreasonable surgical design, intraoperative rough operation caused by tissue adhesion, binocular single vision defect and the inexperienced surgeon.