对儿童先天性上斜肌麻痹的手术治疗临床探讨及疗效的观察。方法 :对 5 2例先天性上斜肌麻痹患儿采取了各种检查 ,如同视机、三棱镜加遮盖、Parks三步法及代偿头位的试验 ,确诊无误时我们主要采用下斜肌后徙前转位手术治疗。结果 :随访结果 ,治愈 2 5例 ( 48.0 7% ) ,改善 2 3例 ( 44 .2 3% ) ,失败 4例 ( 7.7% )。总有效率 ( 92 .3% ) ;代偿头位术前 38例 ,术后消失 32例 ( 84.2 % )。结论 :治疗先天性上斜肌麻痹主要目的是矫正斜视 ,尽可能获得最大的融合功能 ,消除代偿头位 ,并认为下斜肌后徙前转位术治疗上斜肌麻痹是目前较为理想的手术方式之一 ,也是近年来人们对该手术方式疗效评价较高的一种术式 Surgical treatment of congenital superior oblique paralysis in children and its clinical observation. Methods: 52 cases of congenital superior oblique paralysis in children taken a variety of tests, such as the same as the camera, prism and cover, Parks three-step method and head compensation test, the correct diagnosis we mainly use the lower oblique Migration before the transfer of surgical treatment. Results: Follow-up results showed that 25 cases (48.0 7%) were cured, 23 cases (44.23%) were improved and 4 cases (7.7%) failed. The total efficiency (92.3%); compensatory head position in 38 cases before surgery, 32 cases disappeared (84.2%). Conclusion: The main purpose of treatment of congenital superior oblique paralysis is to correct strabismus, to maximize the fusion function as much as possible, to eliminate the compensatory head position, and that the inferior oblique posterior transposition surgery for upper oblique paralysis is more ideal One of the surgical methods, but also in recent years, people have a higher evaluation of the efficacy of the surgical approach