改良Knapp术在双上转肌麻痹中的应用OACSTPCD
Treatment of double elevator palsy with improved Knapp operation
目的 初步探讨改良Knapp术在治疗双上转肌麻痹患者中的应用.方法 收集分析我院2017年至2023年收治的双上转肌麻痹5例5眼,经保守治疗无效后使用改良Knapp术,观察术前与术后眼位、假性上睑下垂、复视、代偿头位、麻痹眼眼肌运动情况.结果 5例双上转肌麻痹患者,在行改良Knapp术后,眼位正位(＜±10°),无并发症发生,假性上睑下垂消失、2例复视患者症状消失,代偿头位基本消失.术后眼球上转功能改善,上转可过中线.术后平均随访6～12个月,眼位保持稳定.结论 改良knapp术式对难治性双上转肌麻痹,有较好的矫正效果.
Objective To explore the application of improved Knapp in the treatment of patients with double elevator palsy.Methods Five cases(5 eyes)of double elevator palsy treated in our hospital from 2017 to 2023 were collected and analyzed.After conservative treatment failed,improved Knapp operation was used to observe the eye position,pseudopto-sis,diplopia,compensatory head position and eye muscle movement of paralyzed eyes before and after operation.Results After improved Knapp,5 patients with double elevator palsy had a positive eye position(＜±10°),no complications occurred,pseudoptosis disappeared,2 patients with diplopia disappeared,and the compensatory head position basically disappeared.After operation,the upward rotation function of eyeball was improved,and the upward rotation could cross the midline.After an average follow-up of 6～12 months,the eye position remained stable.Conclusions The improved knapp operation has a good correction effect on refractory double elevator palsy.
马芳芳;铁艳;王炜;任兵;胡娜
830011 新疆四七四医院眼科830011 新疆四七四医院眼科830011 新疆四七四医院眼科830011 新疆四七四医院眼科830011 新疆四七四医院眼科
双上转肌麻痹改良knapp术
Double elevator palsyImproved Knapp operation
《中国斜视与小儿眼科杂志》 2024 (2)
9-10,14,封4,4
评论