A-V综合征54例手术治疗分析  

The analyze about the clinical surgical treatment of the A-V pattern strabismus

作　　者：王玉瑾 赵瑜 姜远童 李晓林 

机构地区：[1]甘肃兰州市第一人民医院眼科,730050

出　　处：《中国斜视与小儿眼科杂志》2011年第3期117-119,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨伴有斜肌功能亢进的A-V综合征的临床特征及手术矫正效果。方法对54例患者行下斜肌或上斜肌减弱术+水平肌手术,观察手术后眼位及斜肌功能的变化。结果手术后A-V征均得到矫正,9例有代偿头位者均有不同程度改善,4例尚残留轻度水平斜视。结论斜肌减弱术是治疗伴斜肌功能亢进的A-V综合征的有效手术方式。Objective To investigate the features and treatment of A-V pattern strabismus Methods Pre-and post-operative deviation and oblique muscle action as well as binocular visual function were evaluated in fifty-two A-V pattern patients.The difference between up gaze and down gaze of deviation was recorded before and after operation.Results 54 patients with binocular or unilateral inferior oblique over action ＋2 to ＋3 were treated with inferior or superior oblique weakening procedure and horizontal rectus recession-resection procedure.The A-V pattern of 50 patients were cured.9 patients with ocular Torricelli＇s were ameliorated.37 patients obtained steroidal function.4 patients were treated second horizontal rectus recession or resection procedure.Conclusions A-V patterns always had inferior or superior oblique over action and could be treated with the inferior or superior oblique weakening procedure.The primary position deviation should be treated by traditional horizontal rectus recession-resection procedure.The stereoscopic function has a good progress with surgery.

关 键 词：斜视 A-V综合征 斜肌 手术 

分 类 号：R779.6[医药卫生—眼科]