增强下斜肌前转位联合上直肌后退术矫正大度数上斜疗效观察

Observation of therapeutic effect of manifest hypertropia cured by reinforced anterior transposition of inferior oblique muscle combined with retreat of superior rectus muscle

目的:观察增强的下斜肌前转位联合上直肌后退对大度数上斜的矫正疗效。方法:将我院住院患者中上斜>25△度斜视患者24例行增强的下斜肌前转位联合上直肌后退术,观察术后疗效。结果:该24例患者术后随访6mo～1a,其中治愈21例(87.5%),好转3例(12.5%),无效0例,总有效率100%。结论:增强下斜肌前转位联合上直肌后退术是矫正大度数上斜的有效方法。

AIM：To observe the therapeutic effect of manifest hypertropia cured by reinforced anterior transposition of inferior oblique muscle combined with retreat of superior rectus muscle.METHODS：All of 24 inpatients whose hypertropia were above 25△ underwent reinforced anterior transposition of inferior oblique muscle combined with retreat of superior rectus muscle,the therapeutic effect after operation was observed.RESULTS：The 24 patients were followed up for 6 months to 1 year after operation,21 cases（87.5%） were cured,3 patients（12.5%） improved,the total effective rate was 100%.CONCLUSION：The reinforced anterior transposition of inferior oblique muscle combined with retreat of superior rectus muscle is a useful method for manifest hypertropia.