上斜肌减弱术对A型斜视和上斜肌亢进的治疗进展  

The development of superior oblique weakening procedures on A-pattern strabismus and superior oblique overaction

作　　者：周靖晶 戴鸿斌[1] 

机构地区：[1]武汉爱尔眼科医院,430064

出　　处：《中国斜视与小儿眼科杂志》2017年第3期45-48,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：A型斜视是常伴上斜肌功能亢进的特殊类型的斜视。手术治疗以减弱亢进的上斜肌为主。以往减弱上斜肌最常应用的手术方式是上斜肌断腱术,由于断腱术不能定量,欠矫过矫的风险大,且可能因上斜肌麻痹形成继发性斜视,因此对于上斜肌手术一直都较保守,上斜肌手术进展缓慢。近年来,通过积极探索不同的手术方式,目前上斜肌减弱术主要手术方式除上斜肌断腱术外还有上斜肌后徙术,上斜肌延长术等。为了准确把握手术的适应证以达到可预期的手术效果,本文对不同手术方式对A型斜视和上斜肌亢进的治疗进展作一综述。A-pattern strabismus is typically associated with superior oblique overaction. It is the reason that the surgeries focus on weakening the superior oblique muscles. Superior oblique tenotomy is the most common management of weakening procedures. However, it can not determine the amount of surgery, so patients are at high risk of undercorrection or overcorrection. Further, it can also cause secondary strabismus owing to superior oblique paralysis. Therefore, superior oblique weakening procedures are considered with special caution, and it develops slowly. In most recent years, several types of surgeries are explored with great effort, such as superior oblique recession, tendon expander, etc. In order to exactly evaluate the indications, results and the expected effectiveness of surgery, we review the development of treatment surgeries for A-pattern strabismus and superior oblique overaction.

关 键 词：上斜肌减弱术 A型斜视 上斜肌亢进 

分 类 号：R779.6[医药卫生—眼科]