[摘要] 目的:探讨手术治疗先天性上斜肌麻痹的临床疗效。方法:根据患眼的下斜肌功能亢进程度和垂直斜度大小选择不同手术方式治疗。结果:本组术后随访3～24个月,治愈26例,占76.47%;好转7例,占20.59%;无效1例,占2.94%。总有效率为97.06%。结论:先天性上斜肌麻痹治疗的主要目的是矫正斜视,尽可能获得最大的融合功能,消除代偿头位。根据患者下斜肌功能亢进程度和垂直斜视度选择不同术式可获得较好效果。

    [关键词] 先天性;上斜肌麻痹;手术治疗;斜视

    [中图分类号] R777.4+5 [文献标识码]A [文章编号]1674-4721(2010)05(c)-026-02

    Observation of congenital superior oblique palsy treatment

    ZHANG Li'na

    (Department of Ophthalmology,Maternal and Child Health Institute of Puyang City, Henan Province, Puyang457000,China)

    [Abstract] Objective: To evaluate the surgical treatment of congenital superior oblique palsy therapy. Methods: Different surgical treatment options were chose according to the eye in the degree of inferior oblique and vertical gradient of hyperthyroidism size. Results: The patients were followed up 3 to 24 months, cured in 26 cases, accounting for 76.47%; improved in 7 cases, accounting for 20.59%; 1 patient was invalid, accounting for was 2.94%. The total effective rate was 97.06%. Conclusion: The treatment of congenital superior oblique palsy main purpose is to correct strabismus, as far as possible to maximize the integration of functions, elimination of compensatory head posture. According to the degree of hyperthyroidism in patients with inferior oblique and vertical strabismus,choose different surgical options available to better results. ......