外伤性视神经病变的治疗进展  

Progress in the treatment of traumatic optic neuropathy

作　　者：郭海星 李海春 李艳新 迁荣军 GUO Haixing;LI Haichun;LI Yanxin;QIAN Rongjun(Henan University People’s Hospital,Zhengzhou 450003,China;Henan Cerebrovascular Disease Hospital,Henan People’s Hospital/Henan University People’s Hospital,Zhengzhou 450003,China;Henan People’s Hospital Henan Cerebrovascular Disease Hospital/Henan University People’s Hospital/Zhengzhou University People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南大学人民医院,河南郑州450003 [2]河南省人民医院河南省脑血管病医院河南大学人民医院,河南郑州450003 [3]河南省人民医院河南省脑血管病医院河南大学人民医院郑州大学人民医院,河南郑州450003

出　　处：《中国实用神经疾病杂志》2021年第4期357-362,共6页Chinese Journal of Practical Nervous Diseases

基　　金：河南省重点科技攻关计划项目(编号:202102310131)。

摘　　要：外伤性视神经病变(TON)是颌面部损伤后造成单侧或双侧视力受损的罕见临床并发症。对TON迄今尚无公认的金标准治疗方案,对治疗方式的选择及手术治疗时间窗仍存在争议。传统观点认为伤后立即丧失视力及伤后约1个月的未手术患者为手术禁忌。越来越的学者提出了不同的观点,其治疗方案仍存在严重分歧。现对近10年相关文献进行归纳总结,从视神经解剖、病理生理学、诊断、治疗等各方面进行综述,希望能有助于临床进一步工作,制定最佳治疗方案。Traumatic optic neuropathy(TON)is a rare clinical complication of unilateral or bilateral visual impairment after maxillofacial injury.So far,there is no accepted gold standard treatment method for TON,and the treatment method and the time win⁃dow of surgical treatment are still controversial.The traditional view is that surgery is prohibited in patients who are blind immediate⁃ly after injury or who has not been operated on about 1 month after injury.Now more and more scholars have put forward different views,there are still serious differences in their treatment plans.This paper summarizes the relevant literature in recent 10 years,from the aspects of optic nerve anatomy,pathophysiology,diagnosis,treatment and so on,hoping to contribute to further clinical work and formulate the best treatment plan.

关 键 词：外伤性视神经病变 减压术 视神经管 颅脑外伤 视觉诱发电位 

分 类 号：R774.6[医药卫生—眼科]