高度近视性斜视的临床与CT研究影像医学与核医学专业论文.docxVIP

山西医科大学硕士论文  PAGE 9 了明显改变，也以外直肌改变最明显。眼直肌的改变是由于重眼现象及斜视所 导致；眼直肌尤其是外直肌的移位及变形可能是高度近视性内下斜视发生眼球 运动障碍的主要原因之一。 3.本研究高度近视性内下斜视组眼轴长度和外直肌移位的角度、外直肌的 长径与宽径比值有一定的相关性，但不再是单纯的直线正相关的关系。 4.眼轴明显增长、眼直肌移位、变形、眼球向内下方斜视是高度近视性斜 视在CT影像上的特征性表现，根据此征象可提出本病的诊断。 关键词 高度近视 斜视 眼外肌 体层摄影术 X线计算机  CT and clinical analysis of strabismus with high myopia ABSTRACT Objective: Provide deeper understanding of strabismus with high myopia(SHM) and guidance for clinic of dignosis , differential diagnosis and surgical procedure. Through CT scan high myopia patients with esotropia and hypotropia, to analyze maximum cross-sectional area of the rectus muscle, displacement, morphology, and relationship between lateral rectus and the axial length(AXL). Method：This study was based on CT scan images collected from November 2011 to December 2012 in Shanxi Eye Hospital; compares seven inpatients(12 orbits) with high myopia and strabismus and eight normal controls(16 orbits ). Applying type A ultrasonic to measure the AXL. Establish a coordination system with the center of orbit as the origin based on coronal CT scan at the globe-optic nerve junction; measure the angles between the centroid of the lateral rectus(LR) 、 medial rectus(MR)、superior rectus (SR) and , inferior rectus (IR) and the adjacent coordinate axes. Based coronal CT scan of rectus muscle at a distance of 6mm posterior to junction of the optic nerve with the globe, measure maximum cross-sectional area and its width, calculate its length to width ratio(LWR). Apply the SPSS 13.0 statistical software to process the data. Result: The experimental group has longer AXL compared with the control group. The t-test results for two independent sets of angles between the centroid of the LR, MR, SR and IR and the adjacent coordinate axes indicate that the angle of lateral rectus(P0.05), superior rectus(P0.05), inferior rectus(P0.05) are all statistically significant. The medial rectus (P=0.780.05) is not statistically significant. For the experimental group, displac