先天性上斜肌麻痹的手术疗效观察

The observed effect of surgery on congenital superior oblique palsy

目的 :评价不同手术方式对先天性上斜肌麻痹的治疗效果。方法 :对我院近年来收治的 5 5例先天性上斜肌麻痹患者的手术方式和疗效作回顾分析。结果 :5 5例中总有效 48例 (87.3 % ) ,术后代偿头位消失或明显改善 35例 (83 .3 % )。术后出现Brown综合征 2例。结论 :下斜肌断腱术与下斜肌后徙术具有同样的矫正效果。上斜 >30 △ 可采用下斜肌转位术。对于合并有水平斜视的患者 ,同时采用下斜肌减弱手术和水平斜视矫正术 。

Objective:To evaluate the therapeutic efficacy of various types of surgery for congenital superior oblique palsy.Methods:To choose a variety of surgical procedures based on the degree of the congenital superior oblique palsy of patients in our hospital in recent years.Results:The corrective effect of sectional tendon surgery for superior oblique palsy equals that for inferior oblique muscle retrocession. Patients with an angle of superior squint that exceeds 30 △ were treated by the inferior oblique muscle translocation method. Compared to the standard procedure in which the oblique muscle is weakened,inferior oblique muscle translocation can reduce the surgical time for patients with a superior oblique palsy strabismus,while horizontally level strabismus surgery can be performed in the same amount of time.Conclusion:The use of a variety of procedures produces better efficacy of surgery. [FK(WB80011?6]