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目的探讨上斜肌麻痹合并分离性垂直斜视(DVD)的手术治疗方法。方法对24例27眼DVD根据双眼视力状况、上斜程度及合并其他类型斜视进行综合分析设计手术,均先行下斜肌后徙转位术,术后半年9眼二次行上直肌后徙术。结果治疗效果23眼满意(85.19%),4眼好转(14.81%),术后双眼单视功能明显改善。结论下斜肌后徙转位术联合上直肌大量后徙术分次治疗是矫正上斜肌麻痹合并DVD的一种有效方法。
Objective To investigate the surgical treatment of supraspinatus paralysis with detached vertical strabismus (DVD). Methods 24 patients (27 eyes) with DVD underwent comprehensive analysis and design surgery according to binocular visual acuity, oblique degree and other types of strabismus. Surgery. Results The therapeutic effect was satisfactory in 23 eyes (85.19%), improvement in 4 eyes (14.81%), and postoperative binocular vision. Conclusion Retrograde posterior oblique reposition combined with a large number of posterior rectus multiple posterior reimplantation is an effective method to correct upper oblique muscle paralysis associated with DVD.