眼肌麻痹的病因及治疗

目的探讨眼肌麻痹患者的病因及治疗。方法回顾性分析46例有眼肌麻痹症状，且经眼科、神经内外科检查、实验室和影像学检查的住院病例。结果眼肌麻痹的病因以动脉瘤最多（34．8％，16／46），其次为痛性眼肌麻痹（17．4％，8／46）及糖尿病性眼肌麻痹（17．4％，8／46），其它依次为：颅脑外伤（13．0％。6／46）、颅内感染（8．6％，4／46）、内直肌损伤（4．3％，2／46）。累及的神经以动眼神经最多（73．9％，34／46）。其次为外展神经（30．4％，14／46），滑车神经受累及较少（4．3％，2／46）。明确诊断后，针对原发病治疗可取得较好效果。结论眼肌麻痹的病因复杂，应仔细分析临床特点，并针对原发病进行积极治疗。

The pathogeny and treatment of hospitalized patients with ophthalmoplegia

Objective To probe the pathogenesis and treatment of ophthalmoplegia syndrome.Methods Retrospective study was performed in 46 hospitalized cases with ophthalmoplegia syndrome.They were diagnosed and treated based on neuro-ophthalmological examination,laboratory test,CT,MRI,DSA and so on.Results Among the factors responsible for opthalmoparalysis,intracranial aneurysms took the first place(16/46),followed by painful ophthalmoplegia syndrom(8/46),diabetes(8/46),craniocerebral injury(6/46),intracranial infection(4/46),medial rectus injury(2/46).As to the cranial nerves involved,oculomotor nerves ranked the first,followed by abducens nerve,nevertheless,trochlear nerve paralysis was relatively rare.Good outcomes were achieved through appropriate remedy.Conclusions The etiology for ophthalmoplegia syndrome was somehow complex.Careful examination and proper treatment option were required for this intricate syndrome.