经颅入路早期手术治疗颅眶颧复合骨折合并视神经损伤  

Early Surgical Treatment by Intracranial Approach in Treating Traumatic Optic Neuropathy Caused by Cranialorbito-zygomatic Complex Fractures

作　　者：程志华[1] 罗聪[1] 郭煜[1] 郭智霖[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院神经外科,上海市200011

出　　处：《组织工程与重建外科杂志》2015年第3期156-157,165,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的 探讨经颅入路一期手术,固定颅眶颧复合骨折,并减压视神经管,治疗颅眶颧复合骨折合并视神经损伤的效果。方法 回顾性分析2011年1月至2013年1月间收治的15例颅眶颧复合骨折合并视神经损伤患者的临床资料,比较视神经管减压手术前后的视力变化。结果 患者受伤至手术时间为8~45 h,均有视神经管骨折,术前视力均为黑朦,术后随访6个月,10例术后视力有效提高。结论 一期手术固定颅眶颧复合骨折,并减压视神经管,治疗颅眶颧复合骨折合并视神经损伤安全有效。Objective To explore the effect of early intracranial optic nerve decompression and internal fixation in treating cranial-orbito-zygomatic complex fractures with traumatic optic neuropathy （TON）. Methods From January 2011 to January 2013, 15 patients with TON caused by cranial-orbito-zygomatic complex fractures were retrospectively analyzed. Visual recovery were observed and recorded before and after optic nerve decompression. Results The periods between the injury and operation were ranged from 8 to 45 hours. All patients had optic canal fractures and visual loss before surgery. All the patients were followed up for 6 months. The visual acuity improvement was achieved in 10 patients after optic nerve decompression. Conclusion Early single-stage repair of orbitozygomatic complex fractures and intracranial optic nerve decompression are effective and safe for patients with traumatic optic neuropathy.

关 键 词：视神经损伤 减压术 经颅入路 眶颧骨折 

分 类 号：R682.11[医药卫生—骨科学]