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目的探讨矫治大角度斜视在常规加强和减弱术中,结合水平肌边缘切开,肌止端前移的手术效果。方法对9例大角度斜视在做水平肌常规减弱和加强时,结合水平肌边缘切开,肌止端前移。结果9例大角度斜视经手术矫正后,术后观察3～6月,1例残留内斜视20△,其余8例均正位。无眼球运动异常及并发症发生。结论采用常规水平肌减弱和加强时,结合将水平肌边缘切开,肌止端前移。可减少水平肌手术的次数及并发症的发生,又达到了矫治大角度斜视的目的。
Objective To investigate the effect of orthodontic treatment of large-angle strabismus in conventional strengthening and weakening surgery, combined with the horizontal muscle edge incision and muscle end-only advancement. Methods Nine cases of large-angle strabismus in the horizontal muscle routine weakened and strengthened, combined with horizontal muscle edge incision, myocutaneous advance. Results Nine cases of large angle strabismus were corrected by surgery, 3 to 6 months after operation, 1 case of residual esotropia 20 △, the remaining 8 cases were positive. No eye movement abnormalities and complications. Conclusion With the conventional level of muscle weakening and strengthening, combined with the level of muscle edge incision, muscle end only forward. Can reduce the number of horizontal muscle surgery and the occurrence of complications, but also to achieve the purpose of correction of large angle strabismus.