先天性上斜肌麻痹术后十年转归  

Ten years outcomes of congenital superior oblique palsy after surgery

作　　者：刘海华[1] 李巧娴[1] 田桂芬[1] 

机构地区：[1]北京大学第一医院小儿眼科,100034

出　　处：《中国斜视与小儿眼科杂志》2015年第4期1-4,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

基　　金：北京大学第一医院归国人员启动基金(项目编号:2015GG004)

摘　　要：目的探讨先天性上斜肌麻痹手术治疗后远期的转归。方法回顾性观察27例先天性上斜肌麻痹(congenital superior oblique palsy,CSOP)病例,对其手术治疗前及治疗后1周、1月、6月和10年的斜视角、下斜肌功能、代偿头位的变化进行统计分析。结果 27例CSOP病例术后1周斜视角、下斜肌功能、代偿头位改善和消失的比率分别为6.77△±3.12△,+1.00±0.49,77.87%,与术后1月、6月有明显差异,与术后10年时无统计学差异。结论 CSOP手术后6个月内斜视角、下斜肌功能和代偿头位有明显改变,此后保持稳定达10年无明显变化。Objective Discussion long term outcomes of congenital superior oblique palsy（ CSOP） after surgery. Methods This was a retrospective analysis of 27 patients with CSOP. The vertical deviation, inferior oblique overaction and abnormal head posture pre-operation and 1 week, 1 month, 6 month, 10 year post-operation were compared. Result There were significant differences in vertical deviation, inferior oblique and abnormal head posture among 1 week, 1 month and 6 month post-operation in 27 CSOP cases, but no statistical difference of vertical deviation, inferior oblique and abnormal head posture compared with those of 10 year post-operation. Conclusions The vertical deviation, inferior oblique overaction and abnormal head posture of CSOP changed significantly within 6 month post-operation, since then remained stable for 10 years without significant change.

关 键 词：先天性 第四颅神经 上斜肌 下斜肌 麻痹 手术 

分 类 号：R779.6[医药卫生—眼科]