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多少年来,对眼外肌减弱的手术方法,都采用后退术、断腱术、及肌肉边缘切开术,而以后退术为主。1974年Cüppens在第二次国际斜视学会上报告一种眼外肌减弱术,将直肌附着点后方14mm处的肌腹用缝线固定在巩膜上,称缝线术(Faden operation-Faden为德语,意即缝线),治疗眼球震颤,此种手术在欧洲较为盛行。Von Noorden将此法介绍在美国杂志上,命名为后部固定缝线(Posterior fixation suture),并在手术上,作了些改进。目前英、美、日相继在各自的专业书刊上介绍此种手术,并进行了动物试验与临床应用。今就本手术的原理、手术方法、适应证、并发症、手术效果及动物试验,分述于后。一、原理一条眼外肌的收缩将眼球转动到一定的程度取决于该肌的肌力以及该眼的转动中心与肌肉牵
Over the years, the method of surgery for weakened extraocular muscles, have used retrograde surgery, tendon surgery, and muscle margins incision, and the main technique to reverse. In 1974, Cüppens reported at the Second International Society of Strabismus an extraocular muscle weakening technique that fixed the suture of the muscle at 14mm posterior to the rectus abdominis to the sclera, known as Faden operation-Faden (German , Meaning suture), treatment of nystagmus, such surgery is more prevalent in Europe. Von Noorden introduced the method in a U.S. magazine titled Posterior Fix suture and made some improvements in surgery. At present, Britain, the United States and Japan have successively introduced such surgeries in their respective professional journals and conducted animal experiments and clinical applications. Now the principle of surgery, surgical methods, indications, complications, surgical effects and animal experiments, points out later. First, the principle of an extraocular muscle contraction Eye rotation to a certain extent depends on the muscular strength of the muscle and the eye rotation center and muscle pull