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A和V型斜视行水平直肌后徙术与否的斜肌后徙术的有效性(作者译)

[Effectiveness of oblique recession with and without resection of horizontal recti in A and V patterns (author's transl)].

作者信息

Rüssmann W

出版信息

Klin Monbl Augenheilkd. 1981 Mar;178(3):171-3. doi: 10.1055/s-2008-1057177.

DOI:10.1055/s-2008-1057177
PMID:7230708
Abstract

Report on 50 patients (17 V-esotropia, 6 V-exotropia, 17 A-esotropia, 10 A-exotropia) who were re-examined between six weeks and six months after oblique recession without/with resection of horizontal recti (procedure of Bietti, Boyd, Lavat et al.). The reduction in A and V patterns achieved varied considerably and nd was unpredictable. In 45% of the patients there was no change at all, or at most a slight change of less than 3%. Thus, the procedure appears to be less effective than oblique muscle surgery or vertical transposition of horizontal recti. Nevertheless, the oblique recession-resection procedure might be of limited use of torsional effects induced by transposition of horizontal recti are undesirable for functional reasons. A curious finding was the reduction in A and V patterns in three out of five patients who were treated with oblique recessions without/with resection in the opposite direction.

摘要

对50例患者(17例V型内斜视、6例V型外斜视、17例A 型内斜视、10例A 型外斜视)进行报告,这些患者在进行了不伴/伴水平直肌切除术的斜肌后徙术(比耶蒂、博伊德、拉瓦特等人的手术方法)后的6周和6个月之间接受了复查。A 型和V 型模式的减少程度差异很大且不可预测。45%的患者根本没有变化,或者最多只有不到3%的轻微变化。因此,该手术似乎不如斜肌手术或水平直肌垂直移位术有效。然而,由于功能原因,当水平直肌移位引起的扭转效应不可取时,斜肌后徙-切除术可能有有限的用途。一个奇怪的发现是,在接受了反向不伴/伴切除术的斜肌后徙术治疗的五名患者中,有三名患者的A 型和V 型模式有所减少。

相似文献

1
[Effectiveness of oblique recession with and without resection of horizontal recti in A and V patterns (author's transl)].A和V型斜视行水平直肌后徙术与否的斜肌后徙术的有效性(作者译)
Klin Monbl Augenheilkd. 1981 Mar;178(3):171-3. doi: 10.1055/s-2008-1057177.
2
[The use of oblique recession of the horizontal recti muscles in surgery of A and V syndromes (author's transl)].
J Fr Ophtalmol. 1981;4(1):75-80.
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Surgical treatment of the A and V phenomena.A征和V征的外科治疗。
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