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目的通过对28例斜视病变眼外肌的病理学研究,了解其发病机理及手术时机。方法在手术过程中将病变眼肌缩短纠正眼位的同时,取切下的斜视病变眼肌行病理常规检查。结果斜视眼肌肌外衣结缔组织明显增生,炎症细胞侵润,同时发现肌组织萎缩,排列较紊乱,部分眼肌仅见成熟的胶原纤维组织。结论共同性斜视眼外肌的确产生病变,不能排除感染的可能性。而且随着年龄的增长,病程延长,斜视眼肌的病理变化愈明显。
Objective To study the pathogenesis and operation timing of extraocular muscles of 28 patients with strabismus. Methods In the course of surgery to reduce the shortening of the eye to correct the eye position at the same time, take the strabismus lesions underwent pathological routine examination. Results Strabismus occipital muscle connective tissue proliferative hyperplasia, inflammatory cell infiltration, and found that muscle atrophy, arranged more disorganized, part of the ocular muscle only mature collagen fibers. Conclusions Common strabismus extraocular muscles do produce lesions and can not rule out the possibility of infection. And with age, longer duration, strabismus more obvious pathological changes.