Abstract

目的 探讨儿童麻痹性斜视依不同的发病原因和临床特点进行手术选择的原则.方法分析病例病史资料及治疗结果.3~12岁麻痹性斜视58例.根据术前三棱镜和/或同视机检查的结果,采用减弱拮抗肌、加强麻痹肌或减弱其配偶肌的方法进行手术.结果儿童麻痹性斜视占同期住院儿童斜视患者的21.30%,其中上斜肌麻痹23例、外直肌麻痹11例、内直肌麻痹9例、上直肌麻痹6例、下直肌和下斜肌麻痹各2例、DVD合并双上斜肌麻痹1例、双上直肌麻痹1例、双下转肌麻痹1例、双上转肌麻痹2例.手术治疗临床治愈40例(69.00%)、好转18例(31.00%).结论儿童麻痹性斜视根据病因及类型,选择不同的手术方法,可获得满意的手术结果。

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