斜视的显微手术治疗初步分析  

Primary study of micro-surgery in strabismus operation

作　　者：田小波[1] 谢湘华[1] 曹晖[1] 张皙[1] 

机构地区：[1]上海市第一人民医院眼科,200080

出　　处：《临床眼科杂志》2004年第5期416-417,共2页Journal of Clinical Ophthalmology

摘　　要：目的　探讨斜视显微手术治疗的优点。方法　 15例水平性斜视患者在显微镜下行斜视矫正术。部分患者行睫状前血管分离术。结果　 15例患者术后斜度均在± 10 △ 以内 ,6例出现一过性的复视 ,一周后复视消失。随访期 1～ 5个月。在 15例患者中 ,有 3例因睫状前血管太细放弃分离血管 ,最后成功保留血管者 4例 ,其余 8例未能成功地分离或保留睫状前血管 ,有的在分离过程中血管破裂 ,有的在肌肉缝合过程中断裂。结论　斜视的显微手术有着明显的优势 ,从传统的斜视手术向显微斜视手术过渡是可行的。Objective To investigate the superiority of micro-surgery in strabismus operation.Methods 15 cases horizontal strabismus petients were operated under microscope.The anterior ciliary artery and vein were separated and reserved in some of them.Results All 15 cases were within ±10 △ after surgery.6 cases presented diplopia temporarily.The anterior ciliary vessel were succeedily reserved in 4 cses.Conclusion Micro-surgery in strabismus is superior to tradition operation.It is feasible to change to micro-surgery from traditionly operation.

关 键 词：患者 血管 斜视手术 显微手术治疗 复视 保留 分离术 显微镜 断裂 

分 类 号：R779.62[医药卫生—眼科]