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目的探讨改良眼外肌悬挂后徙术矫正各类型斜视手术效果。方法对我院261例各类型斜视用“薇乔6-0“可吸收缝线,二针分别在术肌后退有效量(如内直肌后退3mm,外直肌后退5mm)处肌肉上、下穿过浅层巩膜约2mm。二针相距约等于肌止宽,再由肌止中央前缘穿过巩膜至止端后缘,二针相距1-2mm,测量后退距离,按预期手术量悬挂肌肉,打一活结,术中观察眼位。结果近期随访(术后1周)正位率,改良术式组为92.42%,传统术式组91.47%,远期随访(术后≥6周)正位率,改良术式组88.54%;传统术式组86.25%。结论本术式是一种操作简便有效、可靠、安全的较为理想的斜视矫正方法。
Objective To explore the effect of various types of strabismus surgery after rehabilitating extraocular muscles. Methods 261 cases of various types of strabismus in our hospital with “Weiqiao 6-0” absorbable suture, the second needle were effective in the amount of retractor retraction (such as retina retreat 3mm, retraction of the lateral rectus muscle 5mm) at the upper and lower muscles Through the shallow sclera about 2mm. The distance between the two needles is about equal to myocutaneous width, and then by the myringbone central leading edge through the sclera to the posterior margin, two needles distance 1-2mm, measure the receding distance, according to the expected amount of surgery to suspend the muscles, make a living knot, intraoperative observation Eye position. Results The follow-up rate was 92.42% in the modified operation group and 91.47% in the conventional operation group, with a positive follow-up (≥6 weeks after operation), and 88.54% in the modified operation group. The traditional Surgery group 86.25%. Conclusion This procedure is a simple, effective, reliable and safe strabismus correction method.