下斜肌转位及部分切除术矫正大角度垂直偏斜32例  

Inferior oblique dislocation and partial resection for correction of large-angle plumb decline in 32 cases

作　　者：任兵[1] 高晓唯[1] 罗英[1] 冯洁[1] 许振华[1] 

机构地区：[1]解放军第474医院全军眼科中心

出　　处：《国际眼科杂志》2005年第4期696-697,共2页International Eye Science

摘　　要：目的:探讨下斜肌转位及部分切除术的疗效。方法:大角度垂直偏斜32例,截除下斜肌6～10mm,分别将断端缝合固定于下直肌颞侧止端及6点位角膜缘后4～6mm;如合并其他眼外肌手术,则可同时行上直肌、内直肌及外直肌手术。结果:术前上斜度25Δ～80Δ,平均50.2Δ,单纯下斜肌转位及部分切除,同时上直肌断腱或后徙及内、外直肌止端下移分别平均矫正上斜视25.2Δ,70Δ,60Δ及45Δ。结论:下斜肌转位及部分切除术矫正大角度垂直偏斜操作简单,可避免多次多条肌肉手术。AIM： To study the inferior oblique dislocation and partial resection. METHODS： The inferior oblique of 32 cases with large-angle plumb decline was cut for 6-10mm. The cut ends were stitched onto the temporal insertion of the inferior oblique 4-6mm behind 6 o＇clock position of corneal limbus. Superior and medial rectus operation could be performed if necessary. RESULTS： The pre-operative inferior up move degree was between 25^Δ and 80^Δ.The mean degree was 50.2^Δ. The mean postoperative corrected anoopsia of pure inferior oblique dislocation with partial resection, accompanied by superior rectus tendon cut or back move, and resection of medial or lateral rectus down move which were 25.2^Δ,70^Δ,60^Δ and 45^Δ, respectively. CONCLUSION： Inferior oblique dislocation and partial resection are easy for correction of large-angle plumb dedine, which can avoid repeated multiple muscle operation,

关 键 词：下斜肌转位 下斜肌部分切除术 矫正手术 垂直偏斜 偏斜角度 眼肌疾病 

分 类 号：R779.6[医药卫生—眼科]