中国斜视与小儿眼科杂志2018，Vol.26Issue(2)：10-13,4.DOI:10.3969/J.ISSN.1005-328X.2018.02.003
两种上斜肌加强术式治疗外伤性外旋斜视
Two kinds of superior oblique strengthening surgery for the treatment of traumatic external rotation strabismus
摘要
Abstract
Objective To explore the therapeutic effects of two superior oblique muscle strengthening surgery, namely the superior oblique muscle fold forward surgery and the superior oblique sagittal transposition in the treatment of external rotation strabismus. Methods 42 cases of superior oblique muscle paralysis caused by trauma were treated with superior oblique muscle folding and superior oblique sagittal displacement, and nine visual angles were examined with the "+" pictures of the same visual machine before and after the operation, and the therapeutic effects of the two kinds of surgical methods were compared and analyzed. Results of the 42 patients, 25 cases of superior oblique muscle folding were performed, the first lateral rotation was (2. 23 ± 1.40)° inferior fixation (3. 75± 2. 62)°, 17 cases of superior oblique sagittal displacement, external rotation strabismus (3. 09 ± 1. 35)° at the first eye position, and inferior fixation (5. 31±3. 01)° below. There were significant differences between the two types of superior oblique surgery for the first and lower lateral vision (P＜0. 05), and there was no significant difference between the two operations on the orthodontic correction of the first eye (P ＞ 0. 05), but the correction of the sagittal displacement of the superior oblique muscle is more than that of the lower lateral vision. The migration of the oblique muscle was obvious (P＜0. 05). Conclusions The operation of two kinds of superior oblique muscles is effective for the treatment of the lateral lateral vision of the first eye position and the inferior visual field. The superior oblique muscle folding can effectively strengthen the function of the paralytic muscles, and the effect is better for the patients with vertical rotation strabismus coexistence. It is obvious that the over correction should be properly increased during the operation.关键词
上斜肌/加强手术/上斜肌麻痹/后天性Key words
Superior oblique muscle/Strengthening surgery/Superior oblique muscle paralysis/Posteriority引用本文复制引用
韩惠芳,代书英,孙卫锋..两种上斜肌加强术式治疗外伤性外旋斜视[J].中国斜视与小儿眼科杂志,2018,26(2):10-13,4.基金项目
邢台市科技局基金资助项目(2014zz028-10) （2014zz028-10）
