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眼球外展神經麻痺的手術療法

Surgical Management for Abducens Paralysis

摘要


本篇報告15例外展神經麻痺的病患,8例以單純斜視矯正法,7例以內直肌後退併Hummelscheim眼肌轉位法手術治療的情形。比較術後結果,除水平眼位20~25△矯正效果外,Hummelscheim眼肌轉位法另可加強眼球外展功能,是一種易於施行,併發症少的手術方法。

關鍵字

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並列摘要


Fifteen patients with Abducens paralysis were treated with surgical methods: 8 cases with simple rectus muscle recession-resection procedure; 7 cases with Hummelschein muscle transposition procedure and medial rectus muscle recession. They were followed for at least 7 months and 9 months respecitively in each group. Most of them obtained post-operative well-aligned orthoptic eye position and regained good abduction power, especially the Hummelscheim muscle transposition group. None of them had post-operative complications. Hummelscheim muscle transposition procedure, is therefore a good operative method for abducens paralysis with fewest complications.

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