经鼻内镜手术治疗创伤性视神经损伤的研究  

Endoscopic endonasal surgery for traumatic optic neuropathy

作　　者：俞泽然 刘正峤 徐红令 曾平 陈旭[1] 期俊辉 Yu Zeran;Liu Zhengqiao;Xu Hongling;Zeng Ping;Chen Xu;Qi Junhui(Department of Neurosurgery,Yun'nan University Affiliated Hospital,Kunming 650021,China)

机构地区：[1]云南大学附属医院神经外科,昆明650021

出　　处：《国际外科学杂志》2023年第12期860-864,共5页International Journal of Surgery

摘　　要：创伤性视神经损伤(TON)是颅脑外伤后直接或间接造成视神经损伤后以视力下降、失明为主要表现的疾病。随着内镜手术技术的普及,经鼻内镜下视神经管减压手术成为治疗TON的主要方式。由于对该病认识不足,部分患者错过最佳手术治疗时机,即使经过积极治疗视力也难以完全恢复至受伤前水平,给家庭和社会带来严重负担。本文对TON经鼻内镜手术,手术治疗时机、预后相关因素及手术并发症进行综述,以期临床医师提高对该病认识。Traumatic optic neuropathy(TON)is a direct or indirect optic nerve injury after head trauma leading to vision loss and blindness.As endoscopic techniques spreading,the surgical treatment of TON is mainly accomplished by endoscopic endonasal optic canal decompression.As lack of recognition,some patients elapse the optimistic surgical time.Even after aggressive treatment,however,a full recovery of visual acuity is diminished in TON,which carries substantial burden to both the patients′family and society.The article reviews the advances in study in the timing of surgery,prognostic factors,and complications in endoscopic surgery for TON to improve the understanding of the disease.

关 键 词：创伤 神经系统 外科手术 预后 手术后并发症 经鼻内镜手术 

分 类 号：R651.15[医药卫生—外科学]