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目的探讨分离性垂直斜视的手术治疗。方法 22例患者(34只眼),分别采用上直肌大量后徙术和下斜肌后徙转位术,对其疗效进行比较分析。结果 11例(16只眼)行上直肌后徙术,满意14只眼(满意率87.5%),改善2只眼(改善率12.5%),11例(18只眼)行下斜肌后徙转位术,满意13只眼(满意率72.2%),改善5只眼(改善率27.8%)。结论上直肌大量后徙和下斜肌后徙转位均为治疗垂直分离性偏斜的有效手术,合并下斜肌亢进时,可首选下斜肌后徙转位术,无下斜肌亢进时,首选上直肌后徙术。
Objective To investigate the surgical treatment of detached vertical strabismus. Methods A total of 22 patients (34 eyes) were treated with a large number of posterior rectus abdominis and posterior oblique repositioning, respectively. The curative effect was compared and analyzed. Results In 11 cases (16 eyes), the rectus posterior rectus was satisfactory in 14 eyes (87.5% satisfaction rate), 2 eyes (improvement rate 12.5%) and 11 eyes (18 eyes) Thyrotropy and relocation were satisfactory in 13 eyes (satisfaction rate 72.2%) and improvement in 5 eyes (improvement rate 27.8%). Conclusions The large number of posterior rectus muscle and the posterior oblique muscle retroflexion are both effective surgical treatment of vertical deviation. When combined with inferior oblique hypertrophy, When the preferred upper rectus muscle surgery.