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作者应用直肌悬吊后徙术治疗水平共同性斜视34例,其结果:双侧内直肌悬吊后徒每mm平均矫正斜度4.13△±0.32△,双侧外直肌悬吊后徒每mm平均矫正斜度3.93A±0.56;双侧内直肌悬吊加单侧外直肌截除每mm平均矫正斜度4.81△±0.26△,双侧外直肌悬吊加单侧内直肌截除每mm平均矫正斜度3.94△±0.47△。34例中眼位矫正31例占91.2%,与传统后徙术37例眼位矫正29例(占78.4%)进行比较,P>0.05,差别无显著性。经初步实践我们认为该术式具有操作简单、无巩膜穿孔危险、适应症广、手术成功率高等特点,可以替代传统后徙术。
The author applied the rectus muscle rectum transplantation for the treatment of horizontal common strabismus in 34 cases, the results: bilateral rectus femoris after correction average tilt per mm 4.13 △ ± 0.32 △, both sides of the lateral rectus femoris Average correction slope per mm 3.93A ± 0.56; bilateral rectus abdominis plus lateral rectus abdominis average correction per mm 4.81 △ ± 0.26 △, both lateral rectus abdominis plus unilateral straight Muscle truncation average correction per mm 3.94 △ ± 0.47 △. Among the 34 cases, 31 cases (91.2%) were corrected by eye position and 29 cases (78.4%) were corrected by traditional posterior resection with 37 eyes (P> 0.05). There was no significant difference between them. After initial practice we believe that the operation has the advantages of simple operation, no scleral perforation risk, wide indications, high success rate of surgery, can replace the traditional posterior approach.