先天性上斜肌麻痹的手术治疗  

Surgical Analysis of the Congenital Superior Oblique Paralysis

作　　者：马可[1] 刘陇黔[1] 李平惠[1] 

机构地区：[1]四川大学华西医院眼科,四川成都610041

出　　处：《华西医学》2009年第8期1934-1936,共3页West China Medical Journal

摘　　要：目的:探讨先天性上斜肌麻痹的临床特征以及手术治疗方法。方法:对四川大学华西医院收治的先天性上斜肌麻痹126例患者的临床特征、手术方式和疗效进行回顾分析。结果:我们对126例患者进行了2月至5年的随访,其中治愈50(40.0%)例,改善60(47.6%)例,失败12(9.38%)例。结论:先天性上斜肌麻痹的手术治疗要按减弱直接拮抗剂或配偶肌,加强麻痹肌或间接拮抗肌的原则进行。手术的目的是消除垂直偏斜和代偿头位,避免成年后颜面、颈部和脊柱的畸形,建立双眼单视和恢复正常的眼球功能。Objective：To analyze the clinical feature and surgical treatment of congenital superior oblique paralysis.Methods：The clinical feature and surgical effect of one hundred and twenty-six cases with congenital superior oblique paralysis were analyzed retrospectively.Results：50 cases were cured（40.0%）,60 cases were improved（47.6%）,and 12 cases received no effectiveness（9.38%）.Conclusion：The principle for the surgery of congenital superior oblique paralysis is to weaken direct antagonist and yoke muscles,or strengthen controlateral antagonist, which can get ideal effects if performed according to the excess degree of the superior oblique muscle and the degree of the vertical strabismus,

关 键 词：先天性 上斜肌 手术治疗 

分 类 号：R779.6[医药卫生—眼科]