摘要
本文报告10例因上斜肌麻痹引起的眼性斜颈,其中8例为先天性,1例后天性,另1例原因不明,经手术矫治后,随访9～21个月,结果斜颈改善和消失者各半,疗效比较满意。讨论了眼性斜颈头部偏斜方向的解释,有关眼性斜颈的诊断和手术方法,认为减弱作用过强的患眼麻痹肌上斜肌的对抗肌下斜肌是可取的首选手术,次选手术为后徙患眼上直肌或对侧健眼的下直肌。
This article reports 10 patients with paralysis of the superior oblique(ocular torticollis), who were operated on. In postoperation thesepatients were followed-up 21 months. The results of the operation wereshowed satisfactory. Diagnosis and operation of paralysis of thesuperior oblique (ocular torticollis) are priliminarily discused. Weconsider that weakening procedure of the inferior oblique of theparetic eye (recession and disinsertion, or inferior oblipue myectomy)should be first chosen in the treatment of palsy of the superior oblique.
关键词
眼性斜颈
诊断
手术
ocular torticollis
Bielschowsky's sign
Sherrington's law
