经颅早期视神经管减压治疗颅脑损伤合并视神经损伤  

Transcranial optic canal decompression for traumatic brain injury with optic nerve injury

作　　者：刘宗霖[1] 程新富[1] 张志强[1] 

机构地区：[1]解放军第161医院神经外科,湖北武汉430010

出　　处：《临床军医杂志》2015年第1期1-2,13,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨创伤性颅脑损伤患者经颅视神经管减压最佳的手术时机。方法回顾性总结分析60例经颅视神经管减压手术患者的临床资料,根据伤后手术间隔时间分为A组(<48 h)18例,B组(48 h^7 d)22例和C组(>7 d)20例,术后随访1~3个月,比较有效率。结果总有效率为60%,A组有效率为83.3%,B组为59.1%,C组为40.0%,A组有效率高于B、C两组(P<0.05)。结论创伤性颅脑损伤合并视神经损伤患者应尽早行视神经管减压术,手术时机最好在外伤后48 h内进行。Objective To explore the operation chance of trauscranial optic canal decompression for traumatic brain injury （TBI） with optic nerve injury. Methods Sixty patients with TBI plus optic nerve injury who had undergone transcranial optic canal decom- pression were retrospectively analyzed. According to their t time from injuy to operation, the patients were divided into 3 groups, i. e. Group A （n = 18, 〈48 h）, Group B （n =22, 48 h through 7d） and Croup C （n =20, 〉7d）. All the patients were followed up for 1 - 3 months. Results The total improvement rate was 60.0% （83.3% vs 59.1% vs 40.0% ）. The improvement rate of Croup A was higher than that of Group B or Group C （P 〈 0.05）. Conclusion Early operation within 48 hours is worth recom- mending for TBI patients complicated with optic nerve injury.

关 键 词：创伤性颅脑损伤 外伤性视神经损伤 视神经管减压术 手术时机 

分 类 号：R749.12[医药卫生—神经病学与精神病学]