共同性斜视临床分析98例

Clinical Analysis of 98 cases with eoncomitantStralismus

目的 探讨眼外肌悬吊徙后术治疗共同性斜视的临床应用。方法 将眼肌断端缝线根据所测徙后手术量悬吊后徙 ,缝于肌附着点巩膜浅层 ,先打活结 ,调整眼位 ,正位后结扎。结果 98例共同性斜视采用眼外肌悬吊徙后术者 ,术后眼位正位或偏斜 5°以内者 89例 ,与对照组有显著差异 (P <0 .0 5 ) ,6～ 10°残余斜视度 9例 ,全部病例矫正眼位满意 ,无并发症发生。结论 手术方法简单 ,效果可靠 ,避免了眼心反射 ,巩膜穿孔 ,玻璃体脱出及垂直性斜视的发生。

Objective To observe the clinical effectof suspended recession operation of extraocular muscles in the patients with concomitant strabismus.Methods According to palinal measure, the stichs of the breakingpoints of extraocular muscles were being suspended recession and sutured at the points of attachment of ocular muscles, episclerd. They were first beingslipknoted, and ligatured after the position of eyeball was adjusted to median. Traditional method served as the control group. Results Among 98 cases being treated by suspended recession operations, the position of eyeball in 89 cases in the post operation were median or less than 5 degrees, significantly different contrasted with the control group (P<0.05).There were 9 cases of residualstrabismus with 6～10 degrees. Orthotic positions of all cases were satisfied. No side effects appeared. Conclusion This method has more obvious visual field of operation and more advantages to operation; and avoids the occurrence of eyeball-heart reflect, perforation ofsclerd, prolapse of vifreous and vertical and verticalstrabismus.