64例复视病因分析  

Causal analysis of 64 patients with diplopia.

作　　者：常敏[1] 张丽军[1] 冯雪亮[1] 李俊红[1] 张树梅[1] 

机构地区：[1]山西省眼科医院斜视与小儿眼科,030002

出　　处：《中国斜视与小儿眼科杂志》2005年第2期61-63,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的分析后天性麻痹性斜视的常见病因。方法对64例复视患者的临床资料进行回顾性研究。分析复视的病因,各年龄组病因特点,受累眼外肌分布情况。结果20-50岁发病率最高,占48.44%,其病因以外伤和甲状腺相关眼病居多,分别为25.81%、22.58%;50岁以上占35.93%,以血管性疾病为主,占52.17%;20 岁以下占17.18%,以外伤和重症肌无力为主,均为36.36%。眼外肌及颅神经受累情况,外展神经麻痹最多占32.87%,其后依次为复合神经麻痹,占18.75%,内直肌15.62%,上斜肌和上直肌各10.93%。结论发病原因中以血管性疾病和甲状腺相关眼病(Graves病)占多数,而从受累部位来看,外展神经占首位,而且不同年龄的致病因素不尽相同。Objective To analyse the reasons of diplopia. Methods In a retrospective study for 64 cases with diplopia, the reasons for diplopia, the relationship between age, the involved muscles, the distribution of muscles were discussed. Results The incidence of diplopia was 4.8.44% among the cases who were 20-50 years old. Trauma and thyroid associated ophalmopathy were common causes, the percentage was 26.67% and 23.33% respectively. Trauma and myathemia graves were the main reasons for diplopia among the cases less than 20 years old. Vascular disease is common in the cases over 50 years old. The abducens nerve paralysis （32.81%） was more complex nerves paralysis （18.75%）. Other causes of diplopia were paralysis of medial rectus, superior oblique and superior rectus being 15.62%, 10.94%, 10.94% respectively. Coulusion Vascular disease and thyroid associated ophalmopathy were the main cause of diplopia. In term of involved nerve, abducens nerve paralysis was the most common cause. The causes of diplopia depended on age.

关 键 词：复视 原因 分析 病因分析 甲状腺相关眼病 外展神经麻痹 后天性麻痹性斜视 Graves病 50岁以上 血管性疾病 

分 类 号：R777.42[医药卫生—眼科]