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目的探讨老年人眼外肌麻痹的临床病因及特点。方法对113例以复视为首发症状的眼外肌麻痹患者的临床资料进行回顾性研究,依据病史、临床检查分析发病原因,并对其进行相关治疗。结果眼外肌麻痹的发病部位以核性及核下性眼球运动障碍为主,占83．19％。发病原因以血管性疾病为主,占49．56％。受累部位以动眼神经麻痹占首位为36．28％外展神经麻痹次之,占30．09％。单条眼外肌麻痹较多条肌肉麻痹多见,其中以内直肌受累居多。结论以复视为首发症状的老年人眼外肌麻痹多见,其中以内直肌受累居多。结论以复视为首发症状的老年人眼外肌麻痹病因复杂,以血管性疾病多见,以核及核下性损害为主,动眼神经麻痹占首位。必须及早检查,明确诊断,并给予相关治疗,以免误诊,应引起重视。
Objective To investigate the clinical causes and characteristics of extraocular muscle paralysis in the elderly. Methods The clinical data of 113 cases of extraocular muscle paralysis with diplopia as the first symptom were retrospectively studied. The causes of the disease were analyzed according to the medical history and clinical examination, and the related treatment was carried out. Results The incidence of extraocular muscle paralysis with nuclear and sub-nuclear eye movement disorders, accounting for 83.19%. The main cause of vascular disease, accounting for 49.56%. Affected parts of the oculomotor nerve paralysis accounted for the first place was 36.28%, followed by outlying nerve paralysis, accounting for 30.09%. A single extraocular muscle paralysis more muscle paralysis more common, of which mostly rectus tendon involvement. Conclusions The extraocular muscle paralysis of the elderly with diplopia as the first symptom is more common, of which the inner rectus muscle is mostly involved. Conclusions The complex causes of extraocular muscle paralysis in the elderly with diplopia as the first symptom are mainly vascular diseases and nuclear and subnuclear lesion, and oculomotor nerve paralysis is the first. Must be checked as soon as possible, a clear diagnosis, and to give the relevant treatment, so as not to misdiagnosis, should pay attention.