目的:探讨上、下直肌移位手术治疗外展神经麻痹的临床效果。方法:对我院2004-01/2010-06采用上、下直肌移位术矫正外展神经麻痹所致重度内斜视20例21眼,并进行分析。结果:外展神经麻痹20例行内直肌后徙、上、下直肌1/2移位术,术后患者内斜明显矫正,疗效显著。随访6mo～3a,已矫正的眼位无明显变化,疗效稳定。结论:上、下直肌移位术治疗外展神经麻痹性斜视是可行的,且疗效是稳定的。

AIM:To discuss the clinical effectiveness of superior rectus and inferior rectus muscle Hummelscheim displacement in treating abducent paralytic strabismus·METHODS:Totally 20 cases(21 eyes) of severe esotropia caused by abducent paralysis were treated by superior rectus and inferior rectus muscle Hummelscheim displacement during January 2004 to June 2010 in our hospital.The effectiveness was analyzed·RESULTS:Treated by superior rectus and inferior rectus muscle Hummelscheim displacement,esotropia of 20 cases of abducent paralytic strabismus was corrected significantly.After 6 months to 3 years follow-up,the eye position kept stable and no obvious change occurred·CONCLUSION:Superior rectus and inferior rectus muscle Hummelscheim displacement is practical in treating abducent paralytic strabismus and its outcome is stable.

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