经鼻内窥镜视神经减压术(附5例报告)  

Transnasal Endoscopic Approach for Optic Canal Decompression

作　　者：刘春万[1] 罗光明[1] 颜文全[1] 张登云[1] 

机构地区：[1]四川省苍溪县人民医院,苍溪628400

出　　处：《华西医学》2000年第4期416-417,共2页West China Medical Journal

摘　　要：目的 :探索治疗视神经外伤较好的手术方法和手术时机。方法 :开展了经鼻内窥镜视神经管减压术 ,并与鼻外进路进行比较。结果 :采用经鼻内窥镜鼻内进路视神经管减压术 5例 ,其中 3例视力由术前的无光感、光感恢复到术后 0 2～ 0 4,讨论了手术时机、手术进路的优点和不足、影响疗效的主要因素。结论 :认为经鼻内窥镜筛蝶窦进路视神经管减压术 ,出血少 ,有更大的实用性 ,是治疗视神经损伤较好的手术方法。视神经外伤后应行减压术 ,并越早越好。Objective:To find a better method and operative opportunity to treat traumatic optic neuropathy.Methods:Five cases were treated by transnasal endoscopic sphenoethmoidal optic canal decompression.Results:Three of them had their visual acuity improved from NLP,LP to 0 2-0 4 after the timing.The operative timing,merits of operative approaches,and the key factors of treatment were discussed.Conclusion:Transnasal endoscopic sphenoethmoidal optic canal decompression is a good method for the treatment of post-traumatic optic neuropathy.Optic canal decompression should be done as earlier as possible after optic nerve trauma.

关 键 词：视神经疾病 内窥镜检查 视神经管减压术 

分 类 号：R765[医药卫生—耳鼻咽喉科]