共同性斜视手术治疗的临床探讨

Clinical Study on Suspended Recession Operation of Extraocular Muscles in Patients with Concomitant Strabismus

目的 探讨眼外肌悬吊徙后术治疗共同性斜视的临床效果；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 通过９６ 例共同性斜视采用眼外肌悬吊徙后术的临床观察，术后眼位正位或偏斜５ 度以内者８８ 例，与对照组有显著差异（ Ｐ＜ ０ ．０５），６ ～１０ 度残余斜视度８ 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 effect of suspended recession operation of extraocular muscles in the patients with concomitant strabismus.Methods According to palinal measure,the stitchs of the breaking points of extraocular muscles were being suspended recession and sutured at the points of attachment of ocular muscles,episclerd.They were first being slipknoted,and ligatured after the position of eyeball was adjusted to median.Traditional method served as the control group.Results Among 96 cases being treated by suspended recession operations,the position of eyeball of 88 cases in the postoperation were median or less than 5 degrees, significantly different contrasted with the control group(P<0.05),there were 8 cases of residual strabismus 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 operating;avoiding the occurrence of eyeball-heart reflect,perforating of sclerd,prolapse of vifreous and vertical strabismus.