目的探讨斜视矫正术中并发症的处理方法及效果。方法回顾研究了2003年8月至2006年5月完成的348例斜视手术,对术中出现的并发症、处理及效果进行观察。结果348例斜视手术中,术中巩膜穿孔3例,一例在行肌肉退后时发生,两例发生于肌肉缩短时,发生穿孔后即行巩膜外冷冻,术后随访未发现有进一步损害发生;术中缝线被剪断7例,牵引肌肉断端,重新安置套环缝线后继续完成手术;全麻术中发生严重眼心反射1例,患者出现频发室性早博,不得不终止手术,二次手术时加用阿托品及球后利多卡因浸润麻醉,平稳完成手术;术中严重出血1例,考虑为肌鞘缝合不完整所致;肌肉滑脱1例,为行内直肌缩短时发生,经仔细寻找得断端,完成手术。结论斜视矫正术中操作须认真细致,一旦发生并发症,冷静应对通常仍可取得较好手术效果。 Objective To investigate the methods and effects of complications in strabismus surgery. Methods A retrospective study of 348 cases of strabismus surgery completed from August 2003 to May 2006 was conducted to observe the complications, treatment and effect during operation. Results In 348 cases of strabismus surgery, there were 3 cases of intraoperative scleral perforation, one case occurred when the muscle was withdrawn, and two cases occurred when the muscles were shortened. After perforation, the scleral extravasation was frozen and no further damage was found after the follow-up; In the suture was cut in 7 cases, traction muscle stump, the suture to reposition the loop after the operation continued; general anesthesia in severe ocular reflex in 1 case, patients with frequent ventricular premature beats, had to terminate the operation, Secondary surgery plus atropine and lidocaine infiltration anesthesia, a smooth operation; severe intraoperative bleeding in 1 case, considered to be due to incomplete muscular sheath suture; muscle spondylolisthesis in 1 case, the line of rectus muscle shortening occurs, After carefully looking for the broken end, to complete the operation. Conclusions Strabismus operation should be carefully and carefully treated. In the event of complications, calm response usually can still achieve better surgical results.