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目的探讨固定性内斜视的手术方法、疗效。方法通过对2000年10月至2006年4月期间采用反折眶骨膜瓣矫治固定性内斜视7例11眼进行总结、分析。结果术后随访半年以上,所有病例均无复发,其中8眼视力不同程度提高,除一眼欠矫约10度外,其余眼位均矫正满意,达到了美容的目的。结论采用反折眶骨膜瓣矫治固定性内斜视,其牵拉效果稳定持久,反折眶骨膜瓣制作简便,不会发生吸收变形,对供区的功能及外形均无不良影响,且反折眶骨膜瓣与外直肌有相似的弧度。因此,我们认为反折眶骨膜瓣矫正固定性内斜视是一种较为理想的手术方法。
Objective To investigate the surgical methods and efficacy of fixed esotropia. Methods From October 2000 to April 2006 period, the use of the orbital periosteum flap correction of esotropia in 7 cases and 11 cases were summarized and analyzed. Results All the cases were followed up for more than six months. No recurrence was found in all the cases. Eight of them had different degree of visual acuity. All the eyes were corrected satisfactorily with the exception of one. Conclusion The use of the orbital periosteal flap for the treatment of fixed esotropia has a stable and long-lasting traction effect. The perianal periosteal flap is easy to produce and does not undergo any absorption deformation. It has no adverse effect on the function and appearance of the donor periorbital periorbital Flap with the outer rectus has a similar curvature. Therefore, we believe that the orbital periosteal flap correction of fixed esotropia is a more ideal surgical method.