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先天性上斜肌麻痹的手术治疗

SURGICAL TREATMENT OF CONGENITAL SUPERIOR OBLIQUEPARALYSIS
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摘要 按照减弱麻痹肌的直接拮抗肌、配偶肌、间接拮抗肌以及加强麻痹肌的手术方法,对57例先天性上斜肌麻痹患者进行了手术矫正。术后46例(80.7%)眼位正位,44例(77.2%)代偿头位消失,13例(22.8%)减轻,总有效率100%。29例(50.9%)获得完全双眼视功能,11例(19.3%)获不完全双眼视功能,总有效率70.2%,取得了较满意的结果。 57 patients with the congenital superior oblique paralysis were treated surgically by weakening the direct an-tagonistic muscle, the synergistic muscle,indirect antagonistic muscle and by strengthening the paretic muscle it-self.After operation,the misalignment in 46 patients(80.7%)was adequately corrected.The compensatory headposition in 44 patients (77.2%)disappeared and that in another 13 patients(22.8%)was relieved.The successrate was 100%. Postoperatively, 29 patients(50.9%)had completely binocular vision and another 11 patients(19.3%) had incornpletely binocular vision. The success rate was 70.2%.The result is satisfactory.
出处 《北京医科大学学报》 CSCD 1995年第5期387-388,391,共3页 Journal of Peking University(Health Sciences)
关键词 先天性 眼肌麻痹 外科手术 Headings Ophthalmoplegia/surg Ophthalmoplegia/congen
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参考文献2

  • 1刘家琦,实用眼科学,1984年
  • 2孟祥成,斜视弱视学,1981年

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