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目的:探讨结核性脑膜脑炎并发眼肌麻痹的临床特征。方法:回顾性分析本院2006年1月～2010年2月58例结核性脑膜脑炎并发眼肌麻痹的病例资料,根据病情严重程度分为重组和轻组。结果:外直肌麻痹22例,动眼神经麻痹33例,上斜肌麻痹3例,结核性脑膜脑炎相对轻组30例,好转22例,无效8例,有效率73.3%;重组28例,好转16例,无效12例,有效率57.1%。两组显著性差异(P<0.01)。结论:结核性脑膜脑炎并发眼肌麻痹治疗效果与结核性脑膜脑炎病情轻重密切相关。
Objective: To investigate the clinical features of tuberculous meningoencephalitis complicated with ophthalmoplegia. Methods: The data of 58 cases of tuberculous meningoencephalitis complicated with ophthalmoplegia in our hospital from January 2006 to February 2010 were retrospectively analyzed. According to the severity of the disease, the patients were divided into reorganization and light group. Results: 22 cases of lateral rectus paralysis, 33 cases of oculomotor nerve paralysis, 3 cases of supraspinatus paralysis, 30 cases of tuberculous meningoencephalitis were relatively light, 22 cases were improved, 8 cases were ineffective, the effective rate was 73.3%; 28 cases were reorganized , Improvement in 16 cases, 12 cases ineffective, effective rate of 57.1%. There was significant difference between the two groups (P <0.01). Conclusion: The therapeutic effect of tuberculous meningoencephalitis complicated with ophthalmoplegia is closely related to the severity of tuberculous meningoencephalitis.