V型斜视伴原发性下斜肌功能过强的治疗  

The treatment of V-strabisms with primary inferior obliqued overation

作　　者：温佶俐[1] 

机构地区：[1]金华市中心医院眼科,浙江金华321000

出　　处：《眼视光学杂志》2005年第3期159-161,共3页Chinese Journal of Optometry & Ophthalmology

摘　　要：目的探讨V型斜视伴原发性下斜肌功能过强的治疗效果.方法根据手术方式将49例V型斜视伴下斜肌功能过强患者分为四组,分别采用水平肌加强减弱术不联合下斜肌切断减弱术(Ⅰ组)、联合单侧下斜肌切断减弱术(Ⅱ组)、联合双侧下斜肌对等切断减弱术(Ⅲ组)及联合双侧下斜肌不对等切断并部分切除减弱术(Ⅳ组)治疗V型斜视.结果V型斜视伴原发性下斜肌功能过强采用四种方式治疗后,眼位正位,下斜肌功能亢进改善+～++,双侧下斜肌功能对等,术前术后原在位度数和上下注视25°斜视角之差的差异有非常显著性(P＜0.001).结论根据单侧或双侧下斜肌功能过强的具体情况来选择不同的手术方式治疗V型斜视伴原发性下斜肌功能过强,眼位矫正满意,同时手术方式简单、安全有效.Objective To evaluate the effects of correcting Ⅴ -strabisms with primary inferior obliqued oveation. Methods Four methods were perforned to correct Ⅴ- strabisms with primary inferior obliqued overation on 49 cases of Ⅴ-strabisms with primary inferior obliqued overation： transportation of borizontal rectus inseration（Ⅰ）and （or） recession of single inferior oblique muscle transportation of horizontal rectus insertion （Ⅱ） and equity （Ⅲ） or tmequity （Ⅳ） recession of bilateral inferior oblique muscle. Results The eye position were satisfied, inferior obhqued overation is corrected,the primary position trod diffexences between looking 25°upward or downward differed significantly between the preoperation and postoperation （ P 〈0.001 ）.Conclusion Aocoding to the function of single or bilatenil inferior oblique muscle to choose different surgical methods to correct Ⅴ-strabisms with primary inferior obliqued overation, not only the eye position were satisfied, but also the methods were simple, safe ard effective.

关 键 词：斜视/外科手术 下斜肌 对比研究 

分 类 号：R777.41[医药卫生—眼科]