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目的探讨Helveston综合征的手术治疗方法。方法手术设计为分次进行,首先行水平肌手术联合双眼上斜肌鞘内断腱术矫正外斜A征,再择期行上直肌减弱术矫正分离性垂直偏斜(DVD)。结果对3例患儿均按设计首先行双眼上斜肌鞘内断腱和水平肌手术矫正外斜A征,术后随访1～2年,A征均消失,眼位正位,其中1例DVD减轻,2例DVD消失,均未再行二次手术。结论Helveston综合征的手术可分次进行,首先矫正外斜A征、术后观察DVD的变化情况再决定是否需要手术矫正。
Objective To investigate the surgical treatment of Helveston’s syndrome. Methods The surgical design was performed in separate stages. First, horizontal levator ani operation combined with bilateral myocloneal muscular grafting and tendon surgery was used to correct the external oblique A sign, and then the rectus abdominis muscle was used to correct the vertical segregation deviation (DVD). Results According to the design, all the 3 children were firstly treated with bilateral oblique muscular sheath and the horizontal muscle to correct the oblique A sign. All the patients were followed up for 1 to 2 years. The signs of A disappeared and the position of the eye was positive. DVD relief, 2 DVD disappeared, no second surgery. Conclusion The operation of Helveston’s syndrome can be divided into several stages. First, we correct the external oblique A signs, and observe the changes of the DVD after surgery to decide whether the surgical correction is needed.