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分离性垂直偏斜手术治疗探讨

Surgical Treament of Dissocital Vertical Deviation
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摘要 目的 :探索治疗分离性垂直偏斜 (DVD)的最佳手术方式。方法 :对 10 3例 192眼DVD患者应用上直肌后退术 ,上直肌后退联合后固定缝线术 ,下斜肌转位术及上直肌后退联合下斜肌转位术进行随机分组治疗。结果 :后退组近期效果良好者 6 7.39% ,远期 5 8.82 % ,P <0 .0 0 5。后退 +后固定组近期效果良好者 82 .6 9% ,远期 80 .5 6 % ,P>0 .5。下斜肌转位组近期效果良好者 6 5 % ,远期 5 6 .6 7% ,P >0 .0 0 1。后退 +下斜肌转位组近期效果良好者 83.72 % ,远期 81.2 5 % ,P >0 .1。结论 :单独上直肌后退和下斜肌转位术治疗DVD效果不佳 ,后退 +后固定缝线组及后退 +下斜肌转位组效果可靠 。 Objective To study the best surgical method of treating dissociatal vertical deviation DVD) Methods 103 cases (192eyes) of patients were divided in four groups of treated differently with superior trctus recession(SRR),superior rectus recession combined with posterior fixation(SRRCPF),inferior oblique transposition(IOT) and superiorrectus recession combined with inferior oblique transposition(SRRCIOT). Result The therapeutic effect eas better for in 6 months and more than 6 months:SRRgroup was 67.39% and 58.82%(P<0.005),SRRCPF group was 82.69% and 80.56%(P>0.5),IOT group was 65% and 56.67%(P>0.001),SRRCIOT group was 83.72% and 81.25%(P>0.1).Conclusion The effect is less satisfactory with SRR or IOT,SRRCPF or SRRCIOT is better in the treatment of DVD and it is fitter DVD with emerged hyperfunction inferior oblique patients.
出处 《河南职工医学院学报》 2000年第1期25-26,7,共3页 Journal of Henan Medical College For Staff and Workers
关键词 分离性垂直偏斜 手术 上直肌后退术 斜视 dissociatal vertical deviation surgery superior rectus recession inferior oblique transposition posterior fixation
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参考文献5

  • 1张方华.分离性垂直偏斟的诊断和治疗[J].国外医学:眼科学分册,1986,4:219-219.
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