摘要
目的 评价各种手术方法治疗上斜肌麻痹的疗效。方法 14年间用 17种手术方法治疗 193例 ,对其中 183例进行平均 37月的随访。结果 183例 2 2 5次手术 ,平均每例 1 2 3次。代偿头位、上斜肌迟动、V型斜视的消除和减轻分别为 :10 3/110 (例 ,93 6% )、15 8/165 (眼 ,95 8% )、73/76(例 ,96 1% )。手术前后检查同时视、融合、远立体视、近立体视情况分别为 (例/例 ,% ) :81/135 ( 60 0 ) ,112 /138( 81 2 ) ;46/119( 38 1) ,92 /114 ( 80 .7) ;2 1/111( 2 1.6) ,67/10 5 ( 63.8) ;14 /10 9( 12 .8) ,44 /115 ( 38.3) ;P均 <0 0 0 1。治愈 76例 ,好转 96例 ,无效 11例。总有效率 94 0 %。结论 上斜肌麻痹临床表现复杂 ,没有固定的手术模式 。
Objective To evaluate the resulats of a series of surgical procedures in treating superior oblique palsy(SOP).Methods Among the 193 cases with SOP who had undergone 17 kinds of procedures during 14 years,183 cases were followed up with a mean follow up period of 37 months.Results 183 cases had 225 operations with average of 1.23 operations per patient.The ration of elimination and relief of compensatory head posture,of superior oblique underaction and of V patterns of strabismus were successively 103/110(93.6%),158/165(95.8%),73/76(96.1%).Preoperative and postoperative occurring simultaneous perception,fusion,distance stereoacuity and near stereoacuity were respectively 81/135(60.0%),112/138(81.2%), P <0.001;46/119(38.1%),92/114(80.7%), P <0.001;21/111(21.6%),67/105(63.8%), P <0.001;14/109(12.8%),44/115(38.3%) P <0.001.90.4% cases achieved an excellent result and a good result.Conclusion No stereotype treatment mode exists because of the protean and complex manner of presentation in patient with SOP and ophthalmologist must apply the procedures flexibly according to the signs and symptoms of individual patient.
出处
《眼外伤职业眼病杂志》
北大核心
2001年第6期632-633,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
