中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
10期
1281-1286
,共6页
李星仪%张秀兰%王伟%魏世辉
李星儀%張秀蘭%王偉%魏世輝
리성의%장수란%왕위%위세휘
神经眼科%病因分析%儿童及青少年
神經眼科%病因分析%兒童及青少年
신경안과%병인분석%인동급청소년
Neuro-ophthalmology%Etiological analysis%Children and adolescents
目的 了解儿童及青少年神经眼科住院患者的病因及病变定位.方法 对2009年10月至2011年7月期间,在解放军总医院神经眼科病房住院的儿童及青少年神经眼科患者(＜18岁)的病历资料进行回顾性分析,分类统计病因及病变定位.结果 神经眼科住院儿童及青少年患者共129例,视觉传入系统受累共120例(包括视觉传入传出系统同时受累共4例),其中视神经疾病93例,占视觉传入系统受累患者的77.50％,占全部住院患者的72.09％；眼部运动传出系统受累13例(包括视觉传入传出系统同时受累共4例).其中眼球运动障碍为主,共9例,占传出系统受累患者的69.23％,占全部住院患者的6.98％.单眼发病53例,双眼发病76例,共累及205只眼.病因明确者118例,占总病例数91.47％.结论 在儿童及青少年神经眼科住院患者中,视神经是最常见的受累部位.其中原发性脱髓鞘性疾病、外伤性视神经病变及遗传或先天性视神经病变是视神经疾病最常见的原因.
目的 瞭解兒童及青少年神經眼科住院患者的病因及病變定位.方法 對2009年10月至2011年7月期間,在解放軍總醫院神經眼科病房住院的兒童及青少年神經眼科患者(＜18歲)的病歷資料進行迴顧性分析,分類統計病因及病變定位.結果 神經眼科住院兒童及青少年患者共129例,視覺傳入繫統受纍共120例(包括視覺傳入傳齣繫統同時受纍共4例),其中視神經疾病93例,佔視覺傳入繫統受纍患者的77.50％,佔全部住院患者的72.09％；眼部運動傳齣繫統受纍13例(包括視覺傳入傳齣繫統同時受纍共4例).其中眼毬運動障礙為主,共9例,佔傳齣繫統受纍患者的69.23％,佔全部住院患者的6.98％.單眼髮病53例,雙眼髮病76例,共纍及205隻眼.病因明確者118例,佔總病例數91.47％.結論 在兒童及青少年神經眼科住院患者中,視神經是最常見的受纍部位.其中原髮性脫髓鞘性疾病、外傷性視神經病變及遺傳或先天性視神經病變是視神經疾病最常見的原因.
목적 료해인동급청소년신경안과주원환자적병인급병변정위.방법 대2009년10월지2011년7월기간,재해방군총의원신경안과병방주원적인동급청소년신경안과환자(＜18세)적병력자료진행회고성분석,분류통계병인급병변정위.결과 신경안과주원인동급청소년환자공129례,시각전입계통수루공120례(포괄시각전입전출계통동시수루공4례),기중시신경질병93례,점시각전입계통수루환자적77.50％,점전부주원환자적72.09％；안부운동전출계통수루13례(포괄시각전입전출계통동시수루공4례).기중안구운동장애위주,공9례,점전출계통수루환자적69.23％,점전부주원환자적6.98％.단안발병53례,쌍안발병76례,공루급205지안.병인명학자118례,점총병례수91.47％.결론 재인동급청소년신경안과주원환자중,시신경시최상견적수루부위.기중원발성탈수초성질병、외상성시신경병변급유전혹선천성시신경병변시시신경질병최상견적원인.
Objective To investigate the etiology of pediatric neuro-ophthalmology disorders in China.Methods Retrospective case series.Clinical data of children and adolescents ＜18 years suffered from neuro-ophthalmology diseases who hospitalized in the Department of Neuro-ophthalmology,General Hospital of PLA from October 2009 to July 2011 was reviewed.Results Totally 129patients were recruited to study.The visual afferent system of 120 cases was injured including 93cases with optic neuropathy,which accounted for 77.50％ of the patients with visual afferent system injured and 72.09％ of the total hospitalized patients.The efferent nerve system of 13 cases was injured.The ocular motor system was affected in 9 cases,which accounted for 69.23％ of the patients with efferent nerve system affected and 6.98％ of the total hospitalized patients.Unilateral eye was affected in 53 cases,and bilateral eyes were affected in 76 cases,involving a total of 205 eyes,118 cases (91.47％) were identified the original reasons.There were optic neuritis (33 cases),traumatic neuropathy (30 cases),congenital or hereditary optic neuropathy (18 cases),brain tumor or intracranial compressive disorder (14 cases),infectious disease (8 cases),vascular diseases (5 cases),myasthemia gravis (3 cases),psychogenic hypopsia (2 cases),idiopathic intracranial hypertension (2 cases),inflammatory disease (2 cases),Adie's syndrome (1 case),and idiopathic oculomotor nerve palsy (1 case).Conclusions Optic neuropathy is the most common disorder in neuro-ophthalmology in child and adolescent inpatients.Optic neuritis,traumatic optic neuropathy and congenital or hereditary optic neuropathy are major causes for optic neuropathy.
