简介: [ 摘要 ] 目的 分析分离性垂直斜视合并麻痹性垂直斜视的患者的临床特征及治疗方法。 方法 选取 2016 年 1 月~ 2018 年 9 月我院收治的 98 例分离性垂直斜视合并麻痹性垂直斜视患者,对其临床特点、手术方式以及治疗效果进行分析。 结果 分离性垂直斜视合并麻痹性垂直斜视临床特点:出现原在位垂直斜视;遮盖会出现高位眼上飘,部分外旋加大或者不稳定,低位眼也可能出现上飘现象;单眼眼球运动时出现明显眼外肌麻痹以及亢进。经手术治疗后,所有患者中显效 64 例,有效 33 例,总有效可达 98.98% 。治疗后 54 例患者的双眼单视功能水平得到不同程度地提高。结论 分离性垂直斜视常同麻痹性垂直斜视合并发生,治疗时需根据所合并的不同类型的麻痹性垂直斜视选择不同的手术方式。 [ 关键词 ] 分离性垂直斜视;麻痹性垂直斜视;临床特点;治疗方法 [Abstract] Objective To analyze the clinical characteristics and treatment of segregated vertical strabismus with paralytic vertical strabismus. Methods 98 cases of segregated vertical strabismus with paralytic vertical strabismus were selected from January 2016 to September 2018 in our hospital. Their clinical characteristics, surgical methods and therapeutic effects were analyzed. Results The clinical characteristics of segregated vertical strabismus combined with paralytic vertical strabismus were as follows: original vertical strabismus; occlusion of high eyeball drift, increased or unstable partial external rotation, and high eyeball drift; and obvious extraocular muscle paralysis and hyperactivity during monocular movement. After operation, 64 cases were markedly effective and 33 cases were effective. The total effective rate was 98.98%. After treatment, the level of binocular monocular function of 54 patients was improved in varying degrees. Conclusion Separate vertical strabismus often occurs in combination with paralytic vertical strabismus. Different surgical methods should be selected according to different types of paralytic vertical strabismus.
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