上直肌悬挂后徙术治疗分离性垂直斜视  

Treatment of dissociated vertical deviation by sperior rectus recession and appending

作　　者：胡俊喜[1] 王晓丽[1] 彭坤[1] 

机构地区：[1]新乡医学院第一附属医院眼科,河南卫辉453100

出　　处：《医学信息（手术学分册）》2008年第8期708-709,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的探讨上直肌悬吊后徙术治疗分离性垂直斜视的临床效果。方法选择21例（40眼）分离性垂直斜视患者,手术中将上直肌后退5mm后进行悬吊。根据垂直斜视度大小进行不同量的上直肌后退,上斜视度〈20°上直肌悬吊后退7mm,20～25°上直肌悬吊后退8mm,〉25°上直肌悬吊后退9mm。结果40眼中有35眼满意,4眼好转,1眼无效。伴有12例外斜视的患者中满意10例,2例好转;伴有8例内斜视的患者中,满意6例,2例好转,1例患者术后出现复视,观察1个月后复视消失。结论应用上直肌悬吊后退术治疗分离性垂直斜视疗效好、方法简便、并发症少。Objective To study the effects of treatment of dissociated vertical deviation （DVD） by superior rectus recession and suspending. Methods Twenty - one cases （40 eyes） were operated. The superior rectus were appended after 5 mm recession. The amount of total recession was different depending on the degree of vertical strabismus ： 〈 20°, 7 mm;20～25° ,8 mm, 〉 25° ,9 ram. Results In 40 eyes,35 eyes had satisfactory effect,4 eyes made improvement, 1 eye was inefficient. In 12 cases（ 12 eyes） with exotropia,10 cases had satisfactory effect,2 cases made improvement. In 8 cases （8 eyes） esotropia,6 cases had satisfactory effects,2 cases made improvement,1 case had diplopia,but disappeard after 1 month. Conclusions The superior rectus recession and appending for dissociated vertical deviation is effective and simple;it has fewer complications.

关 键 词：分离性垂直斜视 外科手术 上直肌 

分 类 号：R777.41[医药卫生—眼科]