双层壁视神经管视神经损伤的诊断与治疗  

Diagnosis and treatment of optic nerve injury in double wall optic canal

作　　者：赵景武[1] 闫钟钰[2] 常青林[2] 白凤阁[3] 宋维贤[3] 张天明[1] 

机构地区：[1]首都医科大学附属北京同仁医院神经外科,北京100730 [2]首都医科大学附属北京同仁医院放射科,北京100730 [3]首都医科大学附属北京同仁医院眼科,北京100730

出　　处：《国际外科学杂志》2008年第4期235-237,共3页International Journal of Surgery

摘　　要：目的探讨双层壁视神经管时视神经损伤的临床诊断与治疗的特点。方法回顾性分析自2005年1月～2006年12月经CT证实双层壁视神经管的6例视神经损伤患者，经药物、手术及视力康复训练的临床资料，分析CT、视觉诱发电位、视力恢复情况。结果6例患者中4例为完全双层壁视神经管，2例为部分双层壁视神经管，其中4例见视神经管骨折；6例患者视力均好转，且3例视力达到0．1。结论患者为双层壁视神经管时，视神经损伤程度轻，经药物、手术及视力康复训练后，视力恢复较好。Objective To approch the characteristic of diagnosis and treatment of optic nerve injury in double wall optic canal Methods Six patients,with double wall optic canal found by CT, were treated by drug, operation and visual rehabilitation training, The results of CT, vision-evoked potential and visual recovery were analysed. Results In 6 patients, 4 were holo-double wall optic canal and 2 were mero-double wall optic canal, 4 were found having bone fracture. All the 6 cases were effective to treatment including 3 patients whose vision was over 0. 1. Conclusion In double wall optic canal,the degree of optic nerve injury is slight, visual recovery is better by drug, operation and visual rehabilitation training.

关 键 词：视神经 视神经管 蝶窦 筛窦 视觉诱发电位 损伤 

分 类 号：R77[医药卫生—眼科]