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[第4、6和3对脑神经动眼神经麻痹后遗症的外科治疗]

[Surgical treatment of sequelae of oculomotor paralysis of the 4th, 6th, and 3d cranial nerves].

作者信息

Kherroubi R, Hartani D, Aouchiche M

出版信息

Ophtalmologie. 1989 Apr-May;3(2):154-6.

PMID:2641097
Abstract

The writers analyse the operative results of 43 cases of oculo-motor paralysis aftermaths of the 4th, 6th and 3rd cranial pairs treated since 1985. The applying of muscular puckering, associated with a controlled or kept tenotomy, of muscular transplant, of "Fadenoperation" and of oblique surgery, allowed to obtain good results with suppression of diplopia, at least in the facing and in the lower glance, attenuation of ocular torticollis, disappearing of the ocular deviation, and restitution of a fusion area in primary position, within a more or less extended zone of space.

摘要

作者分析了自1985年以来治疗的43例因第四、第六和第三对脑神经所致动眼神经麻痹后遗症的手术结果。采用肌肉折叠术,并结合可控或持续腱切断术、肌肉移植术、“缝线固定术”和斜视手术,至少在正视和向下注视时能够抑制复视,减轻眼性斜颈,消除眼球偏斜,并在或多或少的扩展空间区域内恢复原在位的融合区,从而取得了良好的效果。

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