颅脑外伤后外展神经麻痹性斜视的手术治疗
[摘要] 目的 探討颅脑外伤后外展神经麻痹性斜视的手术治疗方法及其治疗效果。 方法 方便选取2016年1”12月该院收治的因颅脑外伤导致麻痹性斜视患者100例作为研究对象，按照随机分组法将患者分为对照组和实验组，每组患者有50例，其中对照组患者接受常规治疗，实验组患者采用Jensen直肌联结术治疗，对患者术前及术后视网膜对应功能和立体视功能进行检查，统计患者治疗的有效率。并对所有患者进行一年的随访。结果 经过系统的治疗之后两组患者产生显著的效果，其中对照组患者治疗有效率为84%（42/50），实验组患者治疗有效率为94%（47/50）；差异有统计学意义。术后随访发现患者外展功能得到部分恢复，第一眼位正。在其接受手术之后对其实施一年随访，角膜荧光第一眼位正，而且在检测中发现度数为2～9度之间，其外展功能得到恢复，处在5～10度左右的实验组患者有50例，对照组患者有45例。 结论Jensen直肌联结术在外展神经麻痹性内斜视眼中的应用，可以有效提高临床治疗效果和治疗满意度，值得进一步应用和推广。
[关键词] 颅脑外伤；麻痹性斜视；Jensen直肌联结术；临床效果
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）06（c）-0062-03
[Abstract] Objective This paper tries to explore the surgical treatment of abducens nerve paralytic strabismus after craniocerebral trauma and its therapeutic effect. Methods 100 patients with paralytic strabismus due to craniocerebral trauma from January to December 2016 in this hospital were convenient selected as subjects. According to the randomization method， patients were divided into control group and experimental group. There were 50 patients in each group. The control group received conventional therapy. The experimental group was treated with Jensen"s rectus muscle surgery. The patients were examined for preoperative and postoperative retinal functions and stereoscopic vision， and the efficiency of the patient"s treatment was counted. All patients were followed up for one year. Results After the systemic treatment， the two groups of pat...
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