CAJ | 학술논문

目的探讨V型斜视的手术方法及疗效。方法 81例V型斜视手术治疗患者，按术式分为3组：水平直肌垂直移位组(Ⅰ组)67例，下斜肌截腱或鞘内断腱组(Ⅱ组)16例，水平肌部分断腱＋对抗肌垂直移位组(Ⅲ组)8例。结果 Ⅰ组中V型内斜视术前上、下方斜视角差为30.6△，术后减小为4.1△，V型外斜视由术前25.3△减小为7△；Ⅱ组中V型内斜视由20.8△减至2.8△，V型外斜视由31.8△减至5△；Ⅲ组的V型内斜视由32△减小至6△，V型外斜视由34△减为7△。结论直肌附着点垂直移位、下斜肌截腱或鞘内断腱、水平肌部分断腱＋直接对抗肌垂直移位术矫正V型斜视均具有满意疗效。
목적 탐토V형사시적수술방법급료효。방법 81례V형사시수술치료환자，안술식분위3조：수평직기수직이위조(Ⅰ조)67례，하사기절건혹초내단건조(Ⅱ조)16례，수평기부분단건＋대항기수직이위조(Ⅲ조)8례。결과 Ⅰ조중V형내사시술전상、하방사시각차위30.6△，술후감소위4.1△，V형외사시유술전25.3△감소위7△；Ⅱ조중V형내사시유20.8△감지2.8△，V형외사시유31.8△감지5△；Ⅲ조적V형내사시유32△감소지6△，V형외사시유34△감위7△。결론 직기부착점수직이위、하사기절건혹초내단건、수평기부분단건＋직접대항기수직이위술교정V형사시균구유만의료효。
Objective To study the surgical treatment methods and the effectsof V patterns. Methods The 81 cases were fallen into three groups in accordance with methods of operation. ① The insertions of horizontal rectus were displaced vertically. ② The myectomy or myotenotomy within the sheeth of inferior oblique muscle were performed, ③ The marginal myotomy of horizontal rectus combined with the antagonist displaced vertically. Results The three methods of operation were all effective. Conclusions The results in 3 groups are quite favorable, not only to align the eyes, but also restore binocular vision.