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目的 观察肌联合术治疗麻痹性内斜视的作用。方法 2 5例麻痹性内斜视应用内直肌边缘切开术减弱拮抗肌力量 ,应用外直肌与上、下直肌联合术加强麻痹肌。结果 术前第一斜视角 +3 0 3 75°( +66 2 5 △) ,术后 1周残余度数 +6 2 5°( +12 15 △) ,残余以内斜 <10 △ 为良好 ,良好率为 88%。外转范围5 5 7± 0 5 3 5°。结论 外直肌与上、下直肌联合术可使眼球有一定的外展功能。
Objective To observe the effect of muscle combined surgery on paralytic esotropia. Methods Twenty-five cases of paralytic esotropia were treated with the marginal incision of the medial rectus to weaken the antagonistic muscle strength. The external rectus muscle and the upper and lower rectus muscle were used to strengthen the paralyzed muscle. Results The preoperative first oblique angle was +3 0 3 75 ° (+66 2 5 △), the residual degree one week after operation was +6 2 5 ° (+12 15 △), and the residual deviation was less than 10 △ 88%. External rotation range 5 5 7 ± 0 5 3 5 °. Conclusion The external rectus muscle and upper and lower rectus muscle surgery can make the eye have some abduction function.