摘要
目的 :观察脑瘫痉挛与斜视的关系及SPR术后改善情况。方法 :对 82例儿童脑瘫术前行肌张力检查 ,同时行眼部常规检查 ,并对其中 2 0例斜视病儿术前、术后采用三棱镜加交替遮盖法测定斜视角及肌张力对比观察 ,随访 10个月。结果 :①脑瘫手术病儿中斜视发病率较高 ,本组为 2 4 .4 % ,术后斜视改善率为 2 5%。恢复率 10 %。②术前斜视类型及斜视角与肌张力无明显线性关系 ,但术后肌张力改善明显者斜视改善亦明显。结论 :①脑瘫伴斜视为中枢性损害。②眼位的改变支持外周—皮层—外周的大环路学说。
Objective: To investigate the relationship of spasm and strabismus in cerebral palsy and observe the improvement after SPR. Methods: 82 cerebral palsy patients were examined pre and post-operation The examinations included muscle tension. eye position and eye's routine. 20 cases were found strabismus. These patients were further examined by oculist. All patients were followed up to 10 months.Results: The ratio of occurrence of strabismus was much higher than that of normal population 25% of which were improved and 10% were recovered after operation. types and degree of strabismus had no linearelation with muscle tension.but those who had obvious reduction of musle tension also had greater improvement in eye's position.Conclusion: Strabismus in cerebral palsy were caused by CNS damage.The change of eye position suggested peripheral--cortex---periyheral theory.
出处
《河北医学》
CAS
2001年第2期101-104,共4页
Hebei Medicine
关键词
痉挛性脑瘫
SPR术
斜视
疗效
Cerebral palsy
Spasm
Selective posterior rhaziotomy
Strabismus.
