目的：采用Jensen直肌联结术联合麻痹肌的拮抗肌后徙术和超大量麻痹肌缩短联合超大量麻痹肌的对抗肌后徙术两种手术方法治疗麻痹性水平斜视，观察两种手术方法的治疗效果及临床意义。

方法：回顾性分析我院自2005-01/2014-08收治完全性或近完全性水平直肌麻痹斜视患者15例17眼，分别采用Jensen直肌联结术联合麻痹肌的拮抗肌后徙术治疗A组7例7眼，超大量麻痹肌缩短联合超大量麻痹肌的对抗肌后徙术治疗B组8例10眼，术后随访平均 21±8.71mo观察手术疗效。

结果：术后观察患者15例17眼均获得满意效果，14例16眼患者术后随访获得较为理想的远期效果。1例1眼患者术后6mo随访斜视度30^△。远/近斜视度数明显降低(t=28.71，P<0.001； t=36.21，P<0.001)，双眼固视视野范围扩大(t=17.96，P<0.001)、麻痹肌运动程度提高等视觉功能均有不同程度改善(t=9.20，P<0.001)。

结论：采取Jensen直肌联结术联合麻痹肌的拮抗肌后徙术和超大量麻痹肌缩短联合超大量麻痹肌的对抗肌后徙术治疗完全性或近完全性麻痹性水平斜视，手术方法安全可靠，患者能获得眼位正位、麻痹肌运动改善、双眼固视视野扩大的长期稳定效果。

AIM: To observe the effect of surgery for paralytic horizontal strabismus and the paralytic horizontal strabismus performed by Jensen procedure with antagonist muscle of paralytic muscle recession and medial or lateral rectus extra large resection/recession.

METHODS: Fifteen cases(17 eyes)with complete or nearly complete paralytic horizontal strabismus from January 2005 to August. 2014 in our hospital were assessed retrospectively,7 eyes of 7 cases with treatment group A were performed Jensen procedure combined antagonist muscle of paralytic muscle recession, 10 eyes of 8 cases with treatment group B were performed medial or lateral rectus extra large resection/recession. seventeen eyes of 15 cases with an average of 21±8.71mo follow-up were observed.

RESULTS: All 17 eyes of 15 cases after the operation obtained satisfied effects, 16 eyes of 14 cases obtained ideal long-term effect. One eye of a patient with a 6mo follow-up was undercorrected of 30^△. We found a varying degree of postoperative improvement in visual function. There was a significant reduction in the strabismus angle for distance and near(t=28.71, P<0.001; t=36.21, P<0.001), broadening of the field of binocular single vision(t=17.96, P<0.001), and increase in the motor ability of the paralytic muscle(t=9.20,P<0.001).

CONCLUSION: Jensen procedure combined antagonist muscle of paralytic muscle recession and medial or lateral rectus extra large resection/recession is a safe and successful method of treatment in complete or nearly complete paralysis horizontal strabismus. Patients achieve orthophoria, improvement of the motor ability, and larger field of binocular single vision for long time.