Lee D A, Dyer J A, O'Brien P C, Taylor J Z
Am J Ophthalmol. 1984 Apr;97(4):511-8. doi: 10.1016/s0002-9394(14)76137-9.
We conducted a retrospective study of 55 cases to investigate the effectiveness of three different surgical procedures (medial rectus muscle recession and lateral rectus muscle resection in 16 cases, the Hummelsheim procedure in 27 cases, and the Jensen procedure in 12 cases) in the treatment of lateral rectus muscle paralysis. All three procedures were equally effective. Shorter duration of lateral rectus muscle paralysis, greater preoperative lateral version, less contracture of the medial rectus muscle, and a traumatic origin for the sixth cranial nerve damage had a significant effect (P less than .05) on the final results of surgery.
我们对55例病例进行了一项回顾性研究,以调查三种不同手术方法(16例为内直肌后徙和外直肌切除术,27例为胡姆斯海姆手术,12例为詹森手术)治疗外直肌麻痹的有效性。所有三种手术方法效果相同。外直肌麻痹持续时间较短、术前外展幅度较大、内直肌挛缩较轻以及第六脑神经损伤源于外伤对手术最终结果有显著影响(P小于0.05)。