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[斜视中水平直肌附着点的局部解剖学研究]

[A topographical survey of the insertions of horizontal recti in strabismus].

作者信息

Mai G H

机构信息

Eye Hospital, Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou, Guangdong Province.

出版信息

Zhonghua Yan Ke Za Zhi. 1990 May;26(3):171-3.

PMID:2397672
Abstract

The distance to the limbus and breadth of the insertions of the horizontal recti were measured in 857 strabismic patients during operation. The average distance and breadth of MR were 4.99 mm and 10.02 mm, and those of the LR were 6.48 mm and 9.47 mm respectively. The insertion of MR in esotropia (4.87 mm) was nearer to the limbus than that in exotropia (5.39 mm) (P less than 0.01). The insertion of LR in esotropia (6.66 mm) was further from the limbus than that in exotropia (6.43 mm) (P less than 0.01). The relationships between the horizontal recti insertion and the degree of deviation and the refraction of the deviating eye were discussed. It was inferred that the position of the insertion could play a role in the etiology of strabismus.

摘要

在手术过程中,对857例斜视患者测量了至角膜缘的距离和水平直肌附着点的宽度。内直肌的平均距离和宽度分别为4.99mm和10.02mm,外直肌的平均距离和宽度分别为6.48mm和9.47mm。内直肌在向内斜视患者中的附着点(4.87mm)比向外斜视患者中的附着点(5.39mm)更靠近角膜缘(P<0.01)。外直肌在向内斜视患者中的附着点(6.66mm)比向外斜视患者中的附着点(6.43mm)离角膜缘更远(P<0.01)。讨论了水平直肌附着点与斜视度数及斜视眼屈光的关系。据推断,附着点的位置可能在斜视的病因学中起作用。

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