Surgical Analysis of the Congenital Superior Oblique Paralysis_West China Medical Journal

Authors：

MA Ke , LIU Longqian , LI Pinghui.

Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu Sichuan 610041,China;

Corresponding author：

Keywords：

先天性; 上斜肌; 手术治疗

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目的:探讨先天性上斜肌麻痹的临床特征以及手术治疗方法。方法:对四川大学华西医院收治的先天性上斜肌麻痹126例患者的临床特征、手术方式和疗效进行回顾分析。结果:我们对126例患者进行了2月至5年的随访,其中治愈50(40.0%)例,改善60(47.6%)例,失败12(9.38%)例。结论:先天性上斜肌麻痹的手术治疗要按减弱直接拮抗剂或配偶肌,加强麻痹肌或间接拮抗肌的原则进行。手术的目的是消除垂直偏斜和代偿头位,避免成年后颜面、颈部和脊柱的畸形,建立双眼单视和恢复正常的眼球功能。

Citation： MA Ke,LIU Longqian,LI Pinghui.. Surgical Analysis of the Congenital Superior Oblique Paralysis. West China Medical Journal, 2009, 24(8): 1934-1936. doi: Copy

1.	PARKS M M. Alas of Strabismus Surger[M]. Philadelphia: Harper&Row,1983:30.
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5.	KNAPP P. Clasiification and treatment of superior oblique palsy[J].Am Orthop J, 1974,24:18-22.
6.	URIST M J. Unilateral vertical muscle paresis with secondary vertical deviations.PartⅡ:Classification and surgery[J].Am J Ophthalmol, 1964,57:1007-1037.
7.	候川,付玲玲.先天性上斜肌麻痹的手术疗效观察[J]. 眼视光学杂志,2001,12(4);204.
8.	汤黎明,冯长顺,等.下斜肌后徙转位术治疗先天性上斜肌麻痹[J].中国斜视与小儿眼科杂志,2001,9(1),32.
9.	郝雨时.上斜肌麻痹的诊断及治疗[A].临床眼肌学[J].中华眼科杂志,1987,17:87.
10.	MITTLEMAN D, FOLK E R. The evalution and treatment of superior oblique muscle palsy[J].Trans Am Acad Ophthalmol Otolaryngol, 1976,81:893-898.
11.	PARKS M, HAMTIL L W. Surgical management of isolated cyclovertical muscle palsy[J].J Pediatr Ophthalmol, 1971,8:145-152.
12.	吴夕,牛兰俊,姜宁,等．上斜肌手术方式的探讨[J]．眼外伤职业眼病杂志,2006,28(4):274-276．.

1. PARKS M M. Alas of Strabismus Surger[M]. Philadelphia: Harper&Row,1983:30.
2. HILLS D A, REYMOLDS J D, BIGLAN A. Congenial Superior Oblique Palsy in infants[j]. Arh Ophthalmol, 1984,102:1530.
3. 李凤鸣主编.眼科全书下册[M].北京:人民卫生出版社,1996:2939.
4. KHAWAM E, SCOTT A B,JAMPOLLSKY A. Acquired superior oblique palsy: Diagnosis and management[J].Arch.Ophthalmol., 1967,77:761-768.
5. KNAPP P. Clasiification and treatment of superior oblique palsy[J].Am Orthop J, 1974,24:18-22.
6. URIST M J. Unilateral vertical muscle paresis with secondary vertical deviations.PartⅡ:Classification and surgery[J].Am J Ophthalmol, 1964,57:1007-1037.
7. 候川,付玲玲.先天性上斜肌麻痹的手术疗效观察[J]. 眼视光学杂志,2001,12(4);204.
8. 汤黎明,冯长顺,等.下斜肌后徙转位术治疗先天性上斜肌麻痹[J].中国斜视与小儿眼科杂志,2001,9(1),32.
9. 郝雨时.上斜肌麻痹的诊断及治疗[A].临床眼肌学[J].中华眼科杂志,1987,17:87.
10. MITTLEMAN D, FOLK E R. The evalution and treatment of superior oblique muscle palsy[J].Trans Am Acad Ophthalmol Otolaryngol, 1976,81:893-898.
11. PARKS M, HAMTIL L W. Surgical management of isolated cyclovertical muscle palsy[J].J Pediatr Ophthalmol, 1971,8:145-152.
12. 吴夕,牛兰俊,姜宁,等．上斜肌手术方式的探讨[J]．眼外伤职业眼病杂志,2006,28(4):274-276．.

West China Medical Journal

Surgical Analysis of the Congenital Superior Oblique Paralysis

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