悬吊缝线后退术矫正内斜视的临床效果

Adjustable suture strabismus surgery for the correction of concomitant esotropia

目的探讨悬吊缝线后退术矫正内斜视的疗效。方法对内斜视39例(共同性内斜视37例、外伤后固定性内斜视2例)实施内直肌悬吊缝线后退术加外直肌缩短术。结果术后远期正位35例。正位率89.74%;好转2例。总有效率94.87%。欠矫1例,欠矫率2.56%;过矫1例,过矫率2.56%。无并发症。结论该术式是一种简便易行、安全有效的方法。

Objective To discuss effectiveness of adjustable suture strabismus surgery for the correction of concomitant esotropia. Methods 39 cases of esotropia （37 cases of concomitant esotropia, 2 cases of traumatic fixed internal strabismus） received medial rectu s adjustable suture strabismus surgery and lateral rectus resection. Results The long-term effectiveness. 35 cases（89.74% ） achieved alignment. 2 cases turned for the better. Total effective rate was 94.87%. 1 case（2.56% ） appeared to exotropia. Postopearative complication was not present in all patients. Conclusions Adjustable suture strabismus surgery for the correction of concomitant esotropia is a simple, safe, effective method.