直肌悬吊后徙术治疗水平斜视的初步报告

Preliminary Report on Hang--Back Technique for Horizotal Concomitant Strabismus Surgery

作者应用直肌悬吊后徙术治疗水平共同性斜视34例,其结果:双侧内直肌悬吊后徒每mm平均矫正斜度4.13△±0.32△,双侧外直肌悬吊后徒每mm平均矫正斜度3.93A±0.56;双侧内直肌悬吊加单侧外直肌截除每mm平均矫正斜度4.81△±0.26△,双侧外直肌悬吊加单侧内直肌截除每mm平均矫正斜度3.94△±0.47△。34例中眼位矫正31例占91.2％,与传统后徙术37例眼位矫正29例(占78.4％)进行比较,P>0.05,差别无显著性。经初步实践我们认为该术式具有操作简单、无巩膜穿孔危险、适应症广、手术成功率高等特点,可以替代传统后徙术。

The attthors used the Hang--back txchnque for concomitant esotropia and exotropia. 34 cases were treated. The result : Each medial rectus recessiom 1 mm correct 4.13△±0.32△. Each lateral rectus recession 1mm correct 3.95△± 0.56△.Each medial rectus recession 1mm and one lateral rectus resection 1 mm correct 4.81△± 0.26△. Each lateral rectus recession 1 mm and one medial rectus resection 1 mm correct 3.93△± 0.47△±. The success rate was 91.2% (31 cases )in 34 cases which ,use the Hangback rectus recession. And comparison with conventional recession in which the success rate was 78.4% (29 cases ) in 37 cases (P>0.05). We believeve this results confir mthat suspension recession is easier to perform, reducing to chance of scleral perfortion, wide ness, higher success rate and may be instead of conventional recession.