摘要
眼性斜颈的病因中,上斜肌麻痹较为常见,其次为上下直肌的麻痹。后天性眼外肌麻痹多数经药物治疗能见效,部分无效者可以手术矫治。先天性上斜肌麻痹所致的斜颈应早期作手术。其手术方法有:患眼下斜肌减弱术、患眼上斜肌加强术、健眼下直肌减弱术以及患眼上直肌减弱术等。作者自1984年3月至1988年10月,用上直肌后徒术治疗眼性斜颈13例,取得较满意的结果,现报告如下。
The operation methods of the ocular toyticollis are 1.Inferioroblique of the ill eye is attenuted.2.Superior obliqu eof the ill eyeis strengthened.3.Inferior rectus of the health eye is attenuted.4.Superior rectus of the ill eye is attenuted.Until now the superiorrectus attenution is concerned:oneself about increasing rotational dev-iation so that it is emploied seldom.The author treated the oculartorticollis 13 cases using superior rectus recession of which theparalysis of superior oblique muscle were 11 cases and the paralysis ofinferior oblique muscle were 2 cases.In the group of the superior ob-lique muscular paralysis,the superior rectus ration reessin of ill eyeand inferior oblique muscular attenution were peformed.The rationof the superior rectus recession is accorded to the vertical deriatlondegee(PB)in the first ocular position (primary position)and when thehead tilting to ill eye.
