创伤性视神经病变的治疗  

The significance of transnasal endoscopic optic canal decompression in traumatic optic neuropathy

作　　者：李华斌[1] 黄思海[2] 石磊[3] 

机构地区：[1]南京医科大学第一附属医院耳鼻咽喉科,江苏南京210029 [2]江苏省阜宁县人民医院耳鼻咽喉科,江苏阜宁224400 [3]江苏省如东县人民医院耳鼻咽喉科,江苏如东224600

出　　处：《中国耳鼻咽喉头颈外科》2006年第5期329-331,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨鼻内镜视神经管减压术对创伤性视神经病变的治疗意义、注意事项、手术技巧等。方法采用鼻内镜蝶筛窦进路治疗创伤性视神经病变4例。结果4例患者中1例患者视力有较明显的提高,从术前的无光感到出院时眼前50cm指数,1例从术前的无光感到术后的有光感,另2例术前无光感的患者术后随访至今未见改善。结论鼻内镜视神经管减压术是一种治疗创伤性视神经病变的微创、有效的手段,手术适应证可以适当扩大。OBJECTIVE To evaluate the significance of transnasal endoscopic optic decompression in traumatic optic neuropathy. METHODS Four patients with blindness from traumatic optic neuropathy were treated with transnasal endoscopic optic decompression. RESULTS Two patients improved in visual acuity to CF/50 cm and light perception. Two patients didn＇t improve after surgery. CONCLUSION Transnasal endoscopic optic decompression is significant in the management of traumatic optic neuropathy due its effectiveness and minimal invasiveness. It＇s implications can be enlarged under some circumstances.

关 键 词：视神经损伤 内窥镜检查 视神经管减压术 

分 类 号：R779.1[医药卫生—眼科]