CAJ | 학술논문

目的观察麻痹性内斜视分期手术治疗效果.方法对15例麻痹性内斜视患者,采取眼外肌分期手术治疗,一期手术后徙患眼内直肌,缩短患眼外直肌;二期手术行患眼上下直肌颞侧半与外直肌联结术.术后随访观察手术疗效.结果平均随访18月发现,2例患者仅通过一期手术即可矫正斜视,3例患者一期手术后初期达到正位,6周后手术效果同退,二期行直肌联结术达到正位;10例患者一期手术后眼位部分改善,仍有欠矫,二期手术后7例恢复正位,3例仍有部分欠矫.结论麻痹性内斜视采取分期手术治疗,有可能使部分患者仅通过相对损伤较小的一期手术获得满意的远期疗效,即使一期手术仍有欠矫,接受二期直肌联结术后多数患者可获得较为理想的远期效果.
목적 관찰마비성내사시분기수술치료효과.방법 대15례마비성내사시환자,채취안외기분기수술치료,일기수술후사환안내직기,축단환안외직기;이기수술행환안상하직기섭측반여외직기련결술.술후수방관찰수술료효.결과 평균수방18월발현,2례환자부통과일기수술즉가교정사시,3례환자일기수술후초기체도정위,6주후수술효과동퇴,이기행직기련결술체도정위;10례환자일기수술후안위부분개선,잉유흠교,이기수술후7례회복정위,3례잉유부분흠교.결론 마비성내사시채취분기수술치료,유가능사부분환자부통과상대손상교소적일기수술획득만의적원기료효,즉사일기수술잉유흠교,접수이기직기련결술후다수환자가획득교위이상적원기효과.
Objective To observe the effective of surgery by stages for paralytic esotropia. Methods Fifteen patients with paralytic esotropia accepted the surgery by stages that included the recession-resection procedure in first and the Jensen's procedure secondly. Results Mean follow-up was 18 months, 2 patients could accept orthopia from the first stage surgery, 3 patients accepted orthopia early from the first stage surgery but the effective lowered after 6 weeks and had orthopia from the secondly Jensen's procedure; 10 patients' ocular deviation improved partly from the first stage surgery, in which 7 cases accepted orthopia from the second stage surgery and 3 cases had still be undercorrected. Conclusions Surgery by stages for paralytic esotropia made some patients accept good long-time effect from the first stage surgery, even though the effect is undercorrected, those patients could have comparatively ideal forward curative effect from the second stage surgery.