Duane′s眼球后退综合征产生上射和下射现象相关因素分析  

Factors Related to Upshoots and Downshoots in Duane's Retraction Syndrome

作　　者：高杨[1,2] 宁玉贤[1,2] 郝瑞[1,2] 赵堪兴[1,2] 

机构地区：[1]天津医科大学眼科临床学院 [2]天津市眼科医院,天津市300070

出　　处：《中国全科医学》2010年第15期1695-1697,共3页Chinese General Practice

摘　　要：目的探讨Duane′s眼球后退综合征(DRS)患者产生上、下射现象的相关因素。方法对84例(97眼)DRS患者分别按年龄(<16岁与≥16岁)、分型(Ⅰ型、Ⅱ型、Ⅲ型)以及是否合并水平偏斜(内斜、外斜)和垂直偏斜进行分组,研究各因素与上、下射现象产生的关系。结果 57.73%(56/97)的DRS患者出现上、下射现象,其中<16岁与≥16岁两组DRS患者上、下射现象发生率比较,差异无统计学意义(P>0.05);不同类型DRS患者上、下射现象发生率比较,差异有统计学意义(P<0.05);合并水平斜视的DRS患者中内斜视组与外斜视组上、下射现象发生率比较,差异有统计学意义(P<0.05);原在位有垂直偏斜组与无垂直偏斜组DRS患者上、下射现象发生率比较,差异有统计学意义(P<0.05)。结论上、下射现象常见于DRSⅢ型、外斜且原在位有垂直斜视的患者。Objective To investigate the factors related to upshoots and downshoots in Duane＇s retraction syndrome （DRS）.Methods Totally 84 DRS patients （97eyes） were grouped according to the age （16 or ≥16）,type （Ⅰ,Ⅱ,Ⅲ） and whether there existed horizontal or vertical strabismus in primary position of Duane＇s retraction syndrome.Then the relations of various factors with upshoots and downshoots were studied.Results The phenomena of upshoots and downshoots appeared in 57.73% of the eyes in DRS patients.There was no significant difference in morbidity of upshoots and downshoots between the group aged 16 and the group aged ≥16 （P0.05）.However,there was significant difference in morbidity of upshoots and downshoots among typeⅠ,Ⅱ,Ⅲ groups （P0.05）,between the group with esotropia and the group with exotropia in patients complicated by horizontal strabismus （P0.05）,and between the group with vertical strabismus in primary position and the group without vertical strabismus （P0.05）.Conclusion The phenomena of upshoots and downshoots are common among patients with type Ⅲ Duane＇s retraction syndrome,exotropia and vertical strabismus in primary position.

关 键 词：DUANE眼球后退综合征 内斜视 眼球运动障碍 

分 类 号：R777.41[医药卫生—眼科]