摘要
上斜肌麻痹往往存在多种解剖性变异，随着病程进展常可伴有麻痹泛化，刺激其他眼外肌发生继发性改变，导致上斜肌麻痹的临床表现及手术设计方案呈多样化，因此重视并正确认识上斜肌麻痹的临床发展进程及分型，并综合考量上斜肌发育特征和多种临床因素，合理选择个体化治疗方案非常必要。本文针对上斜肌麻痹的表现类型、影像学特征、临床检查注意点及个性化治疗方案的选择等方面进行讨论，以期为指导临床合理规范开展上斜肌麻痹手术提供参考。
Superior oblique palsy （SOP） has many anatomic variations, and the accompanied paralysis generalization could stimulate the secondary changes of other extra-ocular muscles. Therefore, the clinical manifestations of SOP can be various, and the surgical design is complicated and changeable. It is necessary to understand the clinical development, stages and types of SOP correctly, and to take into account the developmental characteristics of the superior oblique muscle and select the individualized treatment plan. In this article, the SOP manifestations, imaging features, clinical examination and personalized treatment options are discussed, in order to provide some reasonable treatment options for SOP surgery.
出处
《中华眼科杂志》
CSCD
北大核心
2017年第12期881-884,共4页
Chinese Journal of Ophthalmology
关键词
斜视
眼肌麻痹
眼球运动
滑车神经疾病
临床方案
个体化医学
Strabismus
Ophthalmoplegia
Eye movements
Trochlear nerve diseases
Clinical protocols
Individualized medicine
