CAJ | 학술논문

目的对比观察下斜肌断腱术和下斜肌部分切除术在V征治疗中的效果.方法取伴有下斜肌亢进的V征患者35例.使用三棱镜交替遮盖法测量视近时第一眼位及上下转25°时的水平斜视度.对下斜肌功能亢进程度进行分级.随机分为2组,分别行下斜肌断腱术和下斜肌部分切除术,观察术后3个月的上下转斜视度差值和下斜肌功能变化.结果术后3个月时下斜肌断腱术组上下转斜视度差值平均为(5.6 4±5.4)△,下斜肌部分切除术组上下转斜视度差值平均为(4.7±4.3)△,两组相比无显著性差异(P>0.05).下斜肌断腱术组下斜肌功能+2级2只眼,+1级7只眼,0级21只眼.下斜肌部分切除术组下斜肌功能+2级1只眼,+1级5只眼,0级22只眼.两组相比无显著性差异(P>0.05).结论下斜肌断腱术和下斜肌部分切除术都有效的解决了下斜肌亢进的V征问题,消除了垂直非共同性.
목적 대비관찰하사기단건술화하사기부분절제술재V정치료중적효과.방법 취반유하사기항진적V정환자35례.사용삼릉경교체차개법측량시근시제일안위급상하전25°시적수평사시도.대하사기공능항진정도진행분급.수궤분위2조,분별행하사기단건술화하사기부분절제술,관찰술후3개월적상하전사시도차치화하사기공능변화.결과 술후3개월시하사기단건술조상하전사시도차치평균위(5.6 4±5.4)△,하사기부분절제술조상하전사시도차치평균위(4.7±4.3)△,량조상비무현저성차이(P>0.05).하사기단건술조하사기공능+2급2지안,+1급7지안,0급21지안.하사기부분절제술조하사기공능+2급1지안,+1급5지안,0급22지안.량조상비무현저성차이(P>0.05).결론 하사기단건술화하사기부분절제술도유효적해결료하사기항진적V정문제,소제료수직비공동성.
Objective To estimate the clinical effect of different inferior oblique surgical procedures in the treatment of V-pattern deviation.Methods Thirty-five patients with V-pattern deviation were divided into two groups randomly and undertook inferior oblique disinsertion or myectomy.The difference of deviation degree between up and down position and the inferior oblique function were recorded and evaluated.Results The average difference position was 5.6± 5.4△3 months post-surgery in the disinsertion group.This compared with 4.7± 4.3△in the myectomy group.There were no significant differences.In the disinsertion group, 2 cases revealed +2 inferior oblique muscle overaction (IOOA), 7 cases revealed +1 and 21 cases revealed 0 IOOA 3 months post-surgery.In the myectomy group, 1 case revealed +2 IOOA, 5 cases revealed +1 and 22 cases revealed 0 IOOA 3 months post-surgery .There were no significant differences between two groups.Conclusions Inferior oblique disinsertion or myectomy both are effective treatment for V-pattern deviation.