V型斜视伴下斜肌功能过强的治疗

• 作 者: 苏明山 唐正香 张文丽
• 机 构: 临沂市人民医院,临沂市人民医院,临沂市人民医院
• 出 处: 临沂医专学报
• 发表日期: 1997年02期
• 关键词: 下斜肌 斜视手术 斜视矫正 垂直斜视度 切断术 上斜视 眼位 切除术 肌部 下科

目的：探讨下斜肌切断术和下科肌部分切除术治疗V型斜视伴下斜肌功能过强的疗效。方法：对58例（111只眼）V型斜视根据下斜肌功能过强的程度分别采用下斜肌切断术和下斜肌部分切除术并联合水平肌肉斜视手术。结果术后第一眼位正位（≤10Δ），V型斜视矫正，下斜肌功能过强明显改善，随访3～20月效果稳定。结论：下斜肌切断术和下斜肌部分切除术安全有效。

Objective: To investigate the effect of inferior oblique incision and partial myomectomy on V-type strabismus with inferior oblique function. Methods: Fifty-eight cases (111 eyes) of V-type strabismus were treated with inferior oblique muscle resection and inferior oblique muscle partial resection combined with horizontal muscle strabismus according to the degree of inferior oblique muscle dysfunction. Results The position of the first postoperative eyes (≤10Δ), V-shaped strabismus correction, inferior oblique muscle function was significantly improved, 3 months to 20 months follow-up results were stable. Conclusion: Oblique oblique muscle resection and inferior oblique partial resection is safe and effective.