在非综合征性单冠状骨关节突症中,Torticollis 主要是眼部相关的
Emily T C Tan1,2, Parinaz Rostamzad3, Yasmin S Esser3
1Department of Ophthalmology, Erasmus MC, University Medical Center, 3000 CA Rotterdam, The Netherlands.
Journal of clinical medicine
|September 28, 2023
概括
眼 (OT) 影响了三分之一的独角兽骨同位症 (UCS) 患者. 这项研究发现,UCS中的结主要与眼部有关,需要立即进行眼科评估.
科学领域:
- 眼科医生 眼科 眼科
- 儿科神经外科 儿科神经外科
- 整形外科 整形外科 整形外科
背景情况:
- 单冠状骨同位症 (UCS) 经常伴有结,可能源于眼部问题或肌肌肉收缩.
- 准确诊断眼 (OT) 对于适当的患者管理和转诊至关重要.
- 在UCS患有OT的患者中,相关的眼科发现尚未得到充分记录.
研究的目的:
- 为了确定非综合征性独角兽骨同位症 (UCS) 患者眼球 (OT) 的患病率.
- 在这个患者群体中调查与OT相关的眼科特征.
主要方法:
- 对非综合征性UCS患者 (1994-2022) 病历的回顾性审查.
- 数据收集包括尾症类型,双眼单视,眼,眼动,字母表模式,折射误差和双眼视.
- 使用克洛珀-皮尔森精确测试计算的患病率;用奇方位/费舍尔精确测试分析的关联.
主要成果:
- 在146名UCS患者中,有57人患有尾风,其中54人被确定为眼部尾风 (OT).
- 在OT的患病率为37% (95%CI [0.292-0.454]).
- 在OT和眼,眼动异常,字母表模式和眼盲之间发现了显著的关联.
结论:
- 在UCS患者中,结主要与眼部有关 (95%).
- 大约三分之一的UCS患者表现出眼球.
- 在考虑物理治疗之前,早期向整形科医生/眼科医生转诊对于在UCS患者中诊断和管理OT至关重要.
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