Jensen术治疗完全性外展神经麻痹性内斜视观察.pdf

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1、中国实用眼科杂志2013年t2YJ第3l卷第l2期ChinJPrattOphthalmol，December．2013，Vol31，No．12·1625··论著：经验体会·Jensen术治疗完全性外展神经麻痹性内斜视观察赖丽平陈金卯刘毓陶崇飞魏艳飞【摘要】目的探讨Jensen术联合内直肌的后徙术治疗完全性外展神经麻痹性内斜视的疗效观察。方法对2009年7月至2012年10月在广西医科大学第一附属医院眼科收治的14例完全性外展神经麻痹性内斜视患者行患眼Jensen术联合内直肌后徙术。术前、术后评估以下指标：(1)外展能力；(2)第-tl~位时的偏斜度数；(3)矫正视力；(4)代偿头位；

2、(5)复视。结果经过3～43个月的随访，外展能力、第一眼位的偏斜度数术前、术后差异均有统计学意义。术前平均矫正视力(0．22~0．35)，术后平均矫正视力为(0．49~0．43)。术后代偿头位、复视消失率分别为70．0％和71．4％，正位率为73．3％。所有病人均未发现眼前节段缺血并发症。结论Jensen术联合内直肌后徙术是治疗完全性外展神经麻痹性内斜视的一种安全而有效地手术方式。【关键词】Jensen术；外展神经麻痹；斜视；手术TheevaluationoftheefectofJensen’Sprocedureperformedinpatientswithcompleteabduc

3、ensnervepalsyLAJLi-ping,CHENJin-mao,LIUYu．TAOCong—fei,WEIYah-fei．DepartmentofOphthalmology,theFirstAffiliatedHospitalofGuangxiMedicalUniversity,Nanning530021，ChinaCorrespondingauthor：CHENJin-mao，Email：sportscjm@163．tom【Abstract】0bjectiveToevaluatetheefectofJensen’Srectusmuscleunioncombinedwitha

4、me．dialrectusrecessionperformedinpatientswithabducensnervepalsy．MethodsRetrospectivestudyof14patientsthattreatedsurgicallyatthefirstafiliatedHospitalofGuangxiMedicalUniversity,Nan—ning，China，fromjuly2009toOctober2012wasdone．AllpatientswereperformedJensen'srectusmuscleunioncombinedwithamedialrec

5、tusrecession．Degreeofpalsy,correctedvisualacuity,angleofstrabismusinprimaryposition，abnormalheadpostureanddiplopiawereanalyzedpreoperativeandpostoperative．ResultsFollow—uptimewasranged3to43months．Therewasasignificantreductioninthedeviationinprimarypositionandincregseinabductionpreoperativeandpo

6、stoperative．Theaver—agecorectedvisualacuitywas(O．22~0．35)preoperatively,and(0．49~0．43)postoperatively．70．0％pa-tientshadnoabnormalheadpostureand71．4％patientshadnodoublevisionintheprimarypositionpostoperatively．73-3％eyeswerewithin10ofalignment．Nopatientdevelopedanteriorsegmentisch—emia．Conclusion

7、sTheJensen’srectusmuscleunioncombinedWithamedialrectusrecessiontech．niqueisasafeandeficacioustherapyforcompleteabducensnervepalsy．【Keywords】Jensenprocedure；Abducensnervepalsy；Strabismus；Surgery后天性麻痹性斜视中以外展神经麻痹性内斜视melsheim。S术式联合拮抗肌