视神经外伤经颅视神经管减压术的效果分析  

An analysis on therapeutic effect of transcranial microsurgical decompression of optic canal treating optic nerve injury

作　　者：龙江[1] 张志强[1] 

机构地区：[1]郑州大学第一附属医院,450052

出　　处：《中华眼外伤职业眼病杂志》2011年第8期576-577,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的分析经颅显微视神经减压术治疗视神经外伤的效果。方法回顾性分析27例经颅显微视神经减压术的手术的时机，效果及影响疗效的相关因素。结果无光感患者13，手术有效率23．1％，视力为光感者11例，有效率63．6％；眼前手动者3例，均有效。总有效率48．1％。无手术并发症。有效患者均为2周内手术病例。结论单纯视神经受压，尚有光感以上视力的患者，早期、充分视神经减压术疗效确切。Objective To analyse the therapeutic effect of transcranial microsurgical decompression of optic canal in treatment of traumatic optic nerve injuries. Methods Retrospective analysis of the operation timing, therapeutic effect and related factors affect of it in 27 eases.. Results Thirteen eases with the vision of no light perception, surgical effective rate is 23.1%, 11 cases with light perception, effective rate is 63.6% ; hand movement effective rate is 100%. The total effective rate is 48.1%. without surgical com- plication. All of the effective patients undergoing operative within 2 weeks. Conclusion Simple optic nerve compression, the patients with beyond light perception vision, the therapeutic effect with early and fully decompression of optic canal is curative effect.

关 键 词：视神经外伤 视神经减压术 手术入路 

分 类 号：R77[医药卫生—眼科] R651[医药卫生—临床医学]