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目的 探讨先天性上斜肌麻痹的手术治疗效果。方法 将我院近两年来先天性上斜肌麻痹患者35例,采用下斜肌断腱术、下斜肌部分切除术或联合上斜肌折叠术,对侧下直肌后退术或同侧上直肌后退术治疗;如合并内、外斜视可联合内外直肌手术。结果 垂直斜视完全矫正29例(82.85％),术后残留上斜度数1.7△～3.4△5例(14.28％),无效1例。术后随访1年,代偿头位完全消失16例(80％),代偿头位改善4例(20％)。结论 先天性上斜肌麻痹的手术治疗效果良好,应尽早进行手术治疗,对于矫正代偿头位有利。
Objective To investigate the surgical treatment of congenital superior oblique paralysis. Methods 35 cases of congenital superior oblique paralysis in our hospital in the past two years, the use of inferior oblique muscle tendon surgery, partial oblique surgery or partial oblique oblique folds on the lateral rectus or ipsilateral Rectus muscle surgery; such as the merger, exotropia can be combined with internal and external rectus surgery. Results The vertical strabismus was completely corrected in 29 cases (82.85%). The residual sag was 1.7 ~ 3.4 △ in 5 cases (14.28%) and 1 case was ineffective. One year after follow-up, there were 16 cases (80%) of compensatory head disappeared completely and 4 cases (20%) of compensatory head position improved. Conclusions The surgical treatment of congenital superior oblique paralysis is effective. Surgical treatment should be carried out as soon as possible, which is beneficial for the correction of compensatory head position.