眼性斜颈的临床误诊分析  

Analysis of the ocular torticollis cases misdiagnosed as muscular torticollis

作　　者：刘燕[1] 王为农[1] 严宏[1] 

机构地区：[1]第四军医大学唐都医院眼科,陕西西安710038

出　　处：《中国美容医学》2008年第8期1141-1142,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析眼性斜颈误诊病例,探讨眼性斜颈的误诊产生原因及鉴别诊断。方法:回顾性分析我科1994年～2006年12年间收治的被误诊为肌性斜颈的眼性斜颈病例,并对其眼科诊断分类与治疗进行分析。结果:共有37例眼性斜颈病人曾在外院被误诊为肌性斜颈,其中先天性上斜肌麻痹或不全麻痹的24例,占64.9%;先天性上直肌麻痹的8例,占21.6%;先天性下直肌麻痹的3例,占8.1%;先天性下斜肌麻痹的2例,占5.4%。曾在外院作过胸锁乳突肌手术的21例,占56.8%;作过理疗等保守治疗的16例,占43.2%。结论:在误诊为肌性斜颈的病例中,先天性上斜肌麻痹占大多数;临床医生应注意区别先天性肌性斜颈与眼性斜颈,以免延误治疗。Objective To investigate the cause of the misdiagnosis by analyzing the cases of ocular torticollis misdiagnosed as muscular torticollis. Methods The ocular torticollis cases misdiagnosed as the muscular torticollis in other hospitals from 1994 to 2006 were retrospectively analyzed, and the diagnostic classification and the treatment were analyzed. Results There were 37 ocular torticollis cases misdiagnosed as the muscular torticollis. Of them,there were 24 cases of congenital superior oblique palsy or paresis, accounting for 64.9%. 8 cases of congenital superior rectus palsy,21.6%. 3 cases of congenital inferior rectus palsy,8.1%. 2 cases of congenital inferior oblique palsy, 5.4 %. There were 21 cases by the surgery of sternocleidomastoid muscle, accounting for 56.8%. 16 cases by physical therapy or other conservative treatment, 43.2%. Conclusion Congenital superior oblique palsy or paresis is the disease most commonly misdiagnosed as muscular torticollis, so clinicians should distinguish the ocular and muscular torticollis in order to avoid making the misdiagnosis or delaying the treatment.

关 键 词：眼性斜颈 误诊 

分 类 号：R776.1[医药卫生—眼科]