CAJ | 학술논문

目的探讨先天性双上转肌麻痹临床特点及手术疗效.方法对12例患者进行斜视度、临床特点及双眼视功能检查,根据不同临床表现选择斜视手术方式,并观察术后短期、长期的斜视度和双眼视功能变化.结果 12例患者术前上直肌和下斜肌的运动均明显受限.12例中2例有双眼视功能,均无市体视觉.术后长期治愈率为75%.长期随访患者垂直斜视度较术前明显减小,差异具有统计学意义.4例患者有一定的双眼视功能恢复,手术前后差异无统计学意义.结论先天性双上转肌麻痹应根据临床表现选择相应的手术方式.对于年龄小、尤其具有代偿头位患儿应积极进行手术治疗,以达到恢复或重建双眼视功能目的 .
목적 탐토선천성쌍상전기마비림상특점급수술료효.방법 대12례환자진행사시도、림상특점급쌍안시공능검사,근거불동림상표현선택사시수술방식,병관찰술후단기、장기적사시도화쌍안시공능변화.결과 12례환자술전상직기화하사기적운동균명현수한.12례중2례유쌍안시공능,균무시체시각.술후장기치유솔위75%.장기수방환자수직사시도교술전명현감소,차이구유통계학의의.4례환자유일정적쌍안시공능회복,수술전후차이무통계학의의.결론 선천성쌍상전기마비응근거림상표현선택상응적수술방식.대우년령소、우기구유대상두위환인응적겁진행수술치료,이체도회복혹중건쌍안시공능목적 .
Objective To investigate the clinical features of congenital ocular elevator muscle palsy and to evaluate the efficacy of surgical treatment.Methods Eye position,clinical features and binocular visual function were examined in 12 patients pre- and post-operatively.Proper operative methods were selected according to clinical features.Results Before operation,the functions of superior rectus muscle and inferior oblique muscle in the 12 patients were restricted and no case had stereoacuity while two of them had binocular visual function.The long-term cure rate of strabismus was 75%.The hyperdeviation of cases decreased significandy compared with that before operation,which showed significant difference.The long term follow up survey showed that the recovery of binocular visual function only found in 4 cases,which showed no significant difference.Conclusions Different operative methods should be selected according to different clinical features.To recover or rebuild the patients' binocular visual function,operation should be taken actively on the younger patients who have compensatory head posture.