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目的：引进全麻下对儿童斜视手术后缝线调整的概念，探讨一种适合儿童的手术方法。方法：对４３例水平斜视手术进行回顾，在术中采用可调整缝线，或者通过留置牵引线，为手术后调整准备。对手术后出现过矫或欠矫者，在７ｄ内，采用浅全身麻醉进行缝线调整。结果：４３例中术后出现的过矫、欠矫共３例，于手术后７ｄ内进行了全麻下缝线调整，效果良好，手术后完全正位，术后两年追踪眼位保持正常。４０例在手术后，由于眼位正常或３ｄ观察期内眼位回归正常，取消调整。结论：在具有客观斜视检查手段的前提下，对于儿童斜视，手术中采用可调整缝线技术，可使患者在一次住院治疗过程中，治疗获得成功。
OBJECTIVE: To introduce the concept of suture adjustment after strabismus surgery in children under general anesthesia and to explore a surgical method suitable for children. Methods: Forty - three cases of horizontal strabismus surgery were retrospectively studied. Adjustable sutures were used intraoperatively, or indwelling traction lines were prepared for postoperative adjustment. Overcorrection or undercorrection occurred after surgery, within 7d, the use of shallow general anesthesia for suture adjustment. Results: In the 43 cases, 3 cases were overcorrected and undercorrected, and the sutures under general anesthesia were adjusted within 7 days after operation. The results were good, . 40 cases after surgery, due to normal eye position or 3d eye observation during normal return to cancel the adjustment. Conclusion: Under the premise of objective strabismus examination, the strabismus in children and the technique of adjustable suture in surgery can make the treatment successful in one hospitalization.