外伤性视神经病变的疗效分析  

Analysis of the curative effect to traumatic optic neuropathy

作　　者：韩宝红[1] 常永杰[2] 

机构地区：[1]河南省安阳市眼科医院,455000 [2]郑州大学第五附属医院眼科

出　　处：《河南外科学杂志》2007年第1期14-15,共2页Henan Journal of Surgery

摘　　要：目的探讨外伤性视神经病变的治疗方法和效果。方法52例57眼中,44例(48眼)给予药物治疗;9例(9眼)接受经颅视神经减压术,同时给予药物治疗。并将两组疗效对比分析。结果药物治疗48眼,有效16眼,无效32眼,有效率占33.33%;手术治疗9眼,有效4眼,无效5眼,有效率占44.44%。药物治疗和手术治疗比较差异无统计学意义(P=0.795)。结论外伤性视神经病变视力损伤重,治疗效果差,尚无有效的治疗方法。Objective To study the effect of treatment for traumatic optic neuropathy. Methods Fifty- two patients （57eyes） with traumatic optic neuropathy were enrolled. Forty - four patients were treated with high - dose corticosteroid and 9 patients received optic nerve decompression. The outcomes of visual acuity were compared between surgery and high - dose drug treatment. Results Among the 9 eyes in operated group, visual acuity of 4 patients showed improvement, while in drug group 16 patients among 48 showed improvement. No significant difference existed between two groups （ P = 0.795）. Conclusion TON/s a rare but devastating cause of partial or complete loss of visual function. The prognosis for recovery of visual function is grave.

关 键 词：外伤性视神经病变 药物治疗 手术治疗 

分 类 号：R774.6[医药卫生—眼科]