226例后天性眼外肌麻痹病因分析  

The Etiology Analysis of 226 Aquired External Ophthalmoplegia

作　　者：肖婷婷 汪彬 徐琰瑛 蒋英[1] 屈晓勇 欧阳君[1] XIAO Tingting;WANG Bin;XU Yanying;JIANG Ying;QU Xiaoyong;OUYANG Jun(Jiangxi Jiujiang NO.1 People's Hospital,Jiujiang 332000,China)

机构地区：[1]江西九江市第一人民医院眼科,九江332000

出　　处：《中国医药指南》2024年第2期64-66,共3页Guide of China Medicine

摘　　要：目的对后天性眼外肌麻痹进行病因分析。方法回顾性分析2017年3月至2022年3月首诊收住我院的226例眼外肌麻痹患者临床资料,对其病因进行分析。结果在226例患者中121例(53.5%)神经源性,42例(18.6%)血管性疾病,26例(11.5%)肌源性。后天性眼外肌麻痹病因中前三位的疾病分别是糖尿性58例,脑梗死21例,甲状腺疾病19例。所有神经源性病例中,以动眼神经麻痹最多见,其次是外展神经,滑车神经最为少见。结论后天性眼外肌麻痹病因复杂,本研究中后天性眼外肌麻痹的前三位主要病因分别为糖尿病、脑梗死和甲状腺疾病。Objective To analyze the etiology of 226 aquired external ophthalmoplegia.Methods The clinical data of 226 patients admitted in our hospital from March 2017 to March 2022 with initial symptoms external ophthalmoplegia were retrospectively analyzed,and the etiologies of the patients were analyzed.Results Of 226 patients,121 cases(53.5%)were neurogenic,42 cases(18.6%)vascular and 26 cases(11.5%)myogenic.The top three diseases in the etiology of acquired extraocular muscle paralysis were diabetic in 58 cases,cerebral infarction in 21 cases and thyroid disease in 19 cases.Of all the neurogenic cases,motor nerve palsy was the most common,followed by abducens nerve,and buccal nerve was the least common.Conclusions The etiology of acquired extraocular muscle palsy is complex,and the top three leading causes of acquired extraocular muscle palsy in this study were diabetes mellitus,cerebral infarction,and thyroid disease.

关 键 词：眼外肌麻痹 病因学 神经源性 血管源性 

分 类 号：R777.45[医药卫生—眼科]