摘要
目的 评价儿童各种斜视手术的疗效。方法 对 10 2例患者施行手术 ,随访 1～ 2年 ,手术方法包括双侧外直肌缩短术 ,双侧内直肌徒后术 ;单眼内直肌徒后和外直肌缩短术。双眼内直肌徒后并附着点下移 ,或行双眼外直肌缩短并附着点上移 ,或单眼内直肌徒后并附着点下移加外直肌缩短附着点上移。双眼外直肌徒后并附着点上移 ,或行单眼外直肌徒后并附着点上移加内直肌缩短并附着点下移。如伴有下斜肌功能亢进者 ,则行下斜肌徒后术。结果 术后 95例斜视均明显改善。随访 1～ 2年的 10 2例斜视患者中 ,78例 (76 .47% )斜视得到治愈 ,17例(16 .6 7% )斜视得到美容治愈 ,7例 (6 .86 % )手术失败。结论 各种类型斜视通过各种手术方法后 ,均能得到良好的矫正而无严重并发症。
Objective To evaluate surgical managenent inchildren with strabismus and its effects.Methods 102 patients were operated and followed up of 1～24 months.Surgical procedure included resection of the bilateral lateral rectus;recession of the bilateral medial rectus,resection of the unilateral lateral rectus and recession of the unilateral medial rectus,recession and downward placement of the bilateral medial rectus or resection and upward placement of the bilateral lateral rectus,recession and upward placement of the lateral rectus or resection and downward placement of the medial rectus.When overaction of the inferior oblique,recession of the inferior oblique.Results Of the 102 patients followed up for 1～24 months,Postoperatively 78 patients (76.47%) had corrected.17 patients (16.67%) had improved.Conclusion There results suggest that patients with strabismus obtain corrected without unacceptable risk by means of the surgical technique mentionede in the paper.
出处
《临床眼科杂志》
2001年第1期40-42,共3页
Journal of Clinical Ophthalmology
关键词
斜视
眼肌
外科手术
治疗
Strabismus Extraocular muscles Surgery of strabismus
