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评价长期单侧上斜肌麻痹病人下斜肌断腱术的安全性和有效性。方法 :回顾性研究 44例单侧上斜肌麻痹病人均行下斜肌断腱术 ,随访 1～ 6年 ,平均年龄 9 9岁 (范围 4 5～ 42岁 ) ,所有病人有长期单侧上斜肌麻痹伴同侧下斜肌功能过强 ,术前和术后垂直斜视度 ,再手术率和症状减轻情况。结果 :术后平均垂直斜视减少 6～ 15 8△ ,88 6 4%病人术后满意 ,明显欠矫需再手术 5例占 11 36 % ,2例配三棱镜 ,无一例过矫 ,再手术病人选择对侧眼下直肌后徙术。结论 :下斜肌断腱术对治疗单侧上斜肌麻痹是安全、有效的术式。
To evaluate the safety and efficacy of long-term unilateral oblique oblique muscular paralysis tendon surgery. Methods: A retrospective study of 44 patients with unilateral supraspinal paralysis underwent oblique tendon surgery, followed up for 1 to 6 years, with an average age of 9 9 years (range 45 to 42 years), all patients with long-term unilateral Oblique oblique paralysis with ipsilateral lower oblique muscle function is too strong, preoperative and postoperative vertical strabismus, reoperation rate and symptom relief. Results: The average postoperative average strabismus decreased 6 ~ 15 8 △, 88 6 4% of patients satisfied with the surgery, obviously less need correction after surgery in 5 cases accounted for 11 36%, 2 cases with prism, no case of overcorrection, reoperation patient choice Contralateral rectus immediately after the ophthalmology. Conclusion: Lower oblique oblique tendon surgery is safe and effective for the treatment of unilateral supraspinatus paralysis.