下斜肌分级后徙术治疗下斜肌功能亢进的临床研究

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1、授予单位代码10089学号或申请号15065中国图书分类号R777.4+1HebeiMedicalUniversity硕士学位论文学术学位下斜肌分级后徙术治疗下斜肌功能亢进的临床研究研究生：张剑飞导师：刘丹岩教授专业：眼科学二级学院：河北医科大学第二医院目录中文摘要···········································································································1英文摘要······

2、·····································································································4英文缩写···········································································································8研究论文下斜肌分级后徙术治疗下斜肌功能亢进的临床研究前言·········

3、··································································································9对象与方法·····························································································10结果··················································

4、·······················································15附表··········································································································18讨论··················································································

5、························22结论··········································································································24参考文献·································································································25综述下斜肌减弱术的临床应

6、用进展······················································28致谢··········································································································37个人简历··············································································

7、····························38下斜肌分级后徙术治疗下斜肌功能亢进的临床研究摘要目的：探讨下斜肌分级后徙术的治疗效果。与下斜肌切断、部分切除、后徙术的传统手术方法进行疗效比较。观察下斜肌减弱术后并发症，如：术后残余垂直斜视、抑制上转综合征（antielevationsyndromeAES）等。方法：分析张家口市第四医院2015年1月至2017年9月住院,伴有下斜肌功能亢进(inferiorobliqueoveraction,IOOA）的斜视患者67例（88眼）。随机分为

8、下斜肌切断与部分切除术对照组和分级下斜肌手术研究组，进行对照研究。术后随访3～10个月，平均6个月。每位患者行眼部常规检查包括：头位、视力、眼压、眼底、眼B超、散瞳验光，三棱镜、双眼视功能、同视机、各诊断眼位的眼球运动情况、做牵拉试验等，必要时行影[1]像学检查。对下斜肌亢进程度进行量化。本研究采用Hunter和Parks下斜肌功能亢进的分级方法。依据IOOA程度进行手术设计。两组分别设计为：对照组手术方法：①下斜肌功能亢进+，行下斜肌切断手术。②下斜肌功能亢进++，行下斜肌切除3