摘要
睫状肌的结构和功能与许多眼科疾病的发生和发展有关,如睫状肌前旋、肥厚与青光眼相关,睫状肌收缩带动玻璃体向前运动与特发性黄斑前膜、特发性黄斑裂孔等玻璃体视网膜界面疾病相关,睫状肌功能过度和不足可导致视疲劳的发生。同时睫状肌的结构和功能也受局部因素和全身因素的影响,局部的眼外伤可导致睫状体水肿,脑外伤可导致睫状肌痉挛,心理因素也可影响睫状肌的功能状态。这些因素可通过直接作用于外周睫状肌导致其结构和功能异常,也可通过中枢的神经支配影响睫状肌的功能状态。因此,深入理解睫状肌的结构及其神经支配对于临床疾病的诊疗及相关领域的研究有很大意义。本文旨在总结睫状肌结构和功能,着重从睫状肌水平、中脑Edinger-Westphal核水平和核上水平,阐述睫状肌神经支配的概况。
The structure and function of ciliary muscle are related to the occurrence and development of many ophthalmic diseases, such as anterior rotation, hypertrophy of ciliary muscle are associated with glaucoma, vitreous body movement driven by ciliary muscle contraction is related to vitreoretinal interface diseases such as idiopathic macular membrane and idiopathic macular hole, the excessive and insufficient function of ciliary muscle can lead to the occurrence of visual fatigue. At the same time, the structure and function of ciliary muscle are also affected by local and systemic factors, such as local eye injury can lead to ciliary body edema, brain injury can lead to ciliary muscle spasm and psychological factors can also affect the function of ciliary muscle. These factors can directly affect the peripheral ciliary muscle to cause structural and functional abnormalities, and can also affect the functional state of the ciliary muscle through the central nerve innervation. Therefore, a deep understanding of the structure and innervation of ciliary muscle is of great significance for the diagnosis and treatment of clinical diseases and research in related fields. This paper aims to summarize ciliary muscle structure and function, focusing on ciliary muscle level, the midbrain EdingerWestphal nuclear level and the supra nuclear level, describe the general situation of ciliary muscle nerve innervation.
作者
吕小利
陶津华
缪晚虹
LYU Xiaoli;TAO Jinhua;MIAO Wanhong(Department of Ophthalmology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200120,China;Department of Ophthalmology,the Second Affiliated Hospital of Zhejiang Chinese Medical University,Zhejiang Province,Hangzhou 310005,China)
出处
《中国医药导报》
CAS
2020年第12期53-56,共4页
China Medical Herald
基金
上海市进一步加快中医药事业发展三年行动计划(2014年-2016年)建设项目(ZY3-JSFC-1-1019)
浙江省自然科学基金资助项目(LQ19H270004)
浙江省中医药管理局科研基金项目(2018ZB058)。
关键词
睫状肌
神经环路
调节
中脑
大脑皮层
Ciliary muscle
Nerve loop
Accommodation
Midbrain
Cerebral cortex
