目的:探討先天性上斜肌麻痹的臨床特征以及手術(shù)治療方法。方法:對四川大學(xué)華西醫(yī)院收治的先天性上斜肌麻痹126例患者的臨床特征、手術(shù)方式和療效進行回顧分析。結(jié)果:我們對126例患者進行了2月至5年的隨訪,其中治愈50(40.0%)例,改善60(47.6%)例,失敗12(9.38%)例。結(jié)論:先天性上斜肌麻痹的手術(shù)治療要按減弱直接拮抗劑或配偶肌,加強麻痹肌或間接拮抗肌的原則進行。手術(shù)的目的是消除垂直偏斜和代償頭位,避免成年后顏面、頸部和脊柱的畸形,建立雙眼單視和恢復(fù)正常的眼球功能。
引用本文： 馬可,劉隴黔,李平惠. 先天性上斜肌麻痹的手術(shù)治療. 華西醫(yī)學(xué), 2009, 24(8): 1934-1936. doi: 復(fù)制
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| 2. | HILLS D A, REYMOLDS J D, BIGLAN A. Congenial Superior Oblique Palsy in infants[j]. Arh Ophthalmol, 1984,102:1530. |
| 3. | 李鳳鳴主編.眼科全書下冊[M].北京:人民衛(wèi)生出版社,1996:2939. |
| 4. | KHAWAM E, SCOTT A B,JAMPOLLSKY A. Acquired superior oblique palsy: Diagnosis and management[J].Arch.Ophthalmol., 1967,77:761-768. |
| 5. | KNAPP P. Clasiification and treatment of superior oblique palsy[J].Am Orthop J, 1974,24:18-22. |
| 6. | URIST M J. Unilateral vertical muscle paresis with secondary vertical deviations.PartⅡ:Classification and surgery[J].Am J Ophthalmol, 1964,57:1007-1037. |
| 7. | 候川,付玲玲.先天性上斜肌麻痹的手術(shù)療效觀察[J]. 眼視光學(xué)雜志,2001,12(4);204. |
| 8. | 湯黎明,馮長順,等.下斜肌后徙轉(zhuǎn)位術(shù)治療先天性上斜肌麻痹[J].中國斜視與小兒眼科雜志,2001,9(1),32. |
| 9. | 郝雨時.上斜肌麻痹的診斷及治療[A].臨床眼肌學(xué)[J].中華眼科雜志,1987,17:87. |
| 10. | MITTLEMAN D, FOLK E R. The evalution and treatment of superior oblique muscle palsy[J].Trans Am Acad Ophthalmol Otolaryngol, 1976,81:893-898. |
| 11. | PARKS M, HAMTIL L W. Surgical management of isolated cyclovertical muscle palsy[J].J Pediatr Ophthalmol, 1971,8:145-152. |
| 12. | 吳夕,牛蘭俊,姜寧,等．上斜肌手術(shù)方式的探討[J]．眼外傷職業(yè)眼病雜志,2006,28(4):274-276．. |
- 1. PARKS M M. Alas of Strabismus Surger[M]. Philadelphia: Harper&Row,1983:30.
- 2. HILLS D A, REYMOLDS J D, BIGLAN A. Congenial Superior Oblique Palsy in infants[j]. Arh Ophthalmol, 1984,102:1530.
- 3. 李鳳鳴主編.眼科全書下冊[M].北京:人民衛(wèi)生出版社,1996:2939.
- 4. KHAWAM E, SCOTT A B,JAMPOLLSKY A. Acquired superior oblique palsy: Diagnosis and management[J].Arch.Ophthalmol., 1967,77:761-768.
- 5. KNAPP P. Clasiification and treatment of superior oblique palsy[J].Am Orthop J, 1974,24:18-22.
- 6. URIST M J. Unilateral vertical muscle paresis with secondary vertical deviations.PartⅡ:Classification and surgery[J].Am J Ophthalmol, 1964,57:1007-1037.
- 7. 候川,付玲玲.先天性上斜肌麻痹的手術(shù)療效觀察[J]. 眼視光學(xué)雜志,2001,12(4);204.
- 8. 湯黎明,馮長順,等.下斜肌后徙轉(zhuǎn)位術(shù)治療先天性上斜肌麻痹[J].中國斜視與小兒眼科雜志,2001,9(1),32.
- 9. 郝雨時.上斜肌麻痹的診斷及治療[A].臨床眼肌學(xué)[J].中華眼科雜志,1987,17:87.
- 10. MITTLEMAN D, FOLK E R. The evalution and treatment of superior oblique muscle palsy[J].Trans Am Acad Ophthalmol Otolaryngol, 1976,81:893-898.
- 11. PARKS M, HAMTIL L W. Surgical management of isolated cyclovertical muscle palsy[J].J Pediatr Ophthalmol, 1971,8:145-152.
- 12. 吳夕,牛蘭俊,姜寧,等．上斜肌手術(shù)方式的探討[J]．眼外傷職業(yè)眼病雜志,2006,28(4):274-276．.