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我院1985年至1990年对34例麻痹性垂直性斜视进行矫正术。34例中上斜肌麻痹26例(右眼19例;左侧7例)、上直肌麻痹2例、下直肌麻痹2例,双上转肌麻痹(系同一眼的上直肌和下斜肌均麻痹)2例、下斜肌麻痹1例、动眼神经部分分枝麻痹1例。上斜肌麻痹占本组病例76.5%,其中单纯上斜肌麻痹者为9例,而伴有水平斜视者17例(伴外斜者11例、内斜者6例)。讨论:(1)根据麻痹肌所在眼(简称麻痹眼)属注视眼或非注视眼,其手术方案不同。若麻痹眼为注视眼时,临床上表现为麻痹肌的配偶肌(在另一侧眼上)发生痉挛、挛缩。手术应
Our hospital from 1985 to 1990, 34 cases of paralytic vertical strabismus surgery. Twenty-six of the 34 cases were supraspinal oblique paralysis (right eye, 19 cases; left side, 7 cases), upper rectus paralysis, 2 cases, lower rectus paralysis, double upper arm muscle paralysis Oblique muscle paralysis) in 2 cases, inferior oblique muscle paralysis in 1 case, partial oculomotor nerve paralysis in 1 case. Upper oblique paralysis accounted for 76.5% of patients in this group, including simple upper oblique muscle paralysis was 9 cases, while with horizontal strabismus in 17 cases (with oblique in 11 cases, oblique in 6 cases). Discussion: (1) According to the paralyzed muscle eye (referred to as paralyzed eye) is a gaze or non-gaze, the surgical options. If the paralyzed eye for the fixation of the eye, the clinical manifestations of paralyzed muscle spleen muscle (on the other side of the eye) spasm, contracture. Surgery should be