先天性上斜肌麻痹38例临床分析  

Clinical analysis of surgical treatment for 38 cases with congenital superior oblique palsy

作　　者：石荣先[1] 方亚非[1] 张建华[1] 连黎红[1] 

机构地区：[1]河南大学第一附属医院眼科,河南省开封市475001

出　　处：《眼科新进展》2010年第4期375-376,380,共3页Recent Advances in Ophthalmology

摘　　要：目的探讨先天性上斜肌麻痹的临床特征、常规检查方法及手术设计方法,评价手术疗效。方法回顾性分析38例(45眼)先天性上斜肌麻痹患者的临床资料,根据原在位垂直斜视度、下斜肌亢进程度及其合并症不同共采取6种手术方法,术后随访3～10a。结果38例(45眼)先天性上斜肌麻痹患者,通过6种手术方式进行1期手术,治愈30例,占78.9%;好转4例,占10.5%;无效4例,占10.5%;总有效率为89.5%。结论先天性上斜肌麻痹临床表现复杂,无固定的手术模式和固定的手术量,须灵活选择符合具体病情的相应术式。[眼科新进展2010;30(4):375-376,380]Objective To investigate the clinical characteristics,the ways of common examination,operative designs,and the evaluation on curative effects of congenital superior oblique palsy.Methods The clinical data of 38 cases（45 eyes）with congenital superior oblique palsy were retrospectively analyzed.According to the original vertical angle of strabismus,the degree of inferior oblique hyperfunction and the different complications,six surgical methods were adopted.All cases were followed up for 3 to 10 years after surgery.Results A total of 38 cases（45 eyes）with congenital superior oblique palsy were taken the first part of six surgical methods.There were 30 cases cured（78.9%）,4 cases improved（10.5%）,4 cases ineffectively（10.5%）,and the total effective rate was 89.5%.Conclusions Clincial manifestation of congenital superior oblique palsy is very complex.There is no regular surgical technique or fixed surgical extent,so surgical method should be taken flexibly according to the pathogenetic conditions.

关 键 词：上斜肌麻痹 下斜肌亢进 外科手术 

分 类 号：R777.4[医药卫生—眼科]