两种下斜肌减弱术在先天性上斜肌麻痹治疗中的运用  

Two methods of inferior oblique muscle weakening in the treatment of ,congenital superior oblique paralysis

作　　者：强俊[1] 魏灿[1] 叶晗[1] 周海林[1] 

机构地区：[1]上海市眼病防治中心眼科,200040

出　　处：《中国斜视与小儿眼科杂志》2008年第3期106-108,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨二种下斜肌减弱术在先天性上斜肌麻痹治疗中的效果。方法85例先天性上斜肌麻痹患者,33例垂直眼位〈15~Δ行下斜肌部分切除术,52例垂直眼位〉15~Δ行下斜肌移位术。结果85例患者中垂直眼位〈15~Δ行下斜肌部分切除术者,治愈及好转29人（87.9%）,〉15~Δ行下斜肌转位术者,治愈及好转41人（78.8%）。术前有代偿头位者均消失或改善。结论先天性上斜肌麻痹垂直眼位〈15~Δ可行下斜肌部分切除术,〉15~Δ者可行下斜肌移位术。Objective Discuss the effect of two inferior oblique muscle weakening surgery in the treatment of congenital superior oblique paralysis. Methods 85 patients with congenital superior oblique paralysis, 33 patients with hyperdeviation less than 15 prism diopters were treated with inferior oblique myectomy, other 52 patients with hyperdeviation larger than 15 prism diopters were treated with anterior displacement of the inferior oblique insertion. Results 33 of 85 patients with hyperdeviation less than 15 prism diopters undergone inferior oblique muscle myectomy ,29 patients got a complete cure or improvement（87.9%）.52 of 85 patients with hyperdevitation larger than 15 prism diopters undergone inferior oblique muscle anterior translocation,41 patients got a complete cure or improvement （78.8%）.After surgery, all the patients with head tilt had their head tilt a complete cure or improvement. Conclusions Inferior oblique myectomy can be used in patient with hyperdeviation less than 15 prism diopters , patient with hyperdeviation larger than 15 prism diopters should be cured with anterior displacement inferior oblique inesrtion.

关 键 词：上斜肌麻痹 下斜肌部分切除术 下斜肌移位术 

分 类 号：R779.6[医药卫生—眼科]