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对麻痹性斜视的治疗,一般认为动眼神经麻痹的手术治疗最为困难。自1907年Hummelscheim最初提倡用肌肉转位术治疗麻痹性斜视以后,相继出现了针对水平肌、垂直肌麻痹的各种手术。由于动眼神经完全麻痹而引起的外斜视,用内直肌短缩是不能治愈的,主要采用将上斜肌移位到内直肌部位的上斜肌转位术来治疗。关于上斜肌转位术治疗动眼神经完全麻痹病报告较少。本文对1例动眼神经完全麻痹的人采用上斜肌转位术,对其效果进行初步探讨。
Paralytic strabismus treatment, generally considered the most difficult surgical treatment of oculomotor nerve paralysis. Since 1907 Hummelscheim initially advocated the use of muscle transposition for the treatment of paralytic strabismus, have appeared for the level of muscle, vertical muscle paralysis of various operations. Due to complete paralysis of the oculomotor nerve caused by exotropia, with shortening of the rectus is incurable, mainly used to shift the upper oblique muscle to the position of the rectus muscle oblique transposition surgery to treat. There are few reports of transposition of the upper oblique muscle for complete paralysis of the oculomotor nerve. In this paper, a case of complete paralysis of the oculomotor nerve using upper oblique muscle transposition, the effect of a preliminary study.