摘要
目的探索治疗视神经外伤较好的手术方法。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１４例，其中９例视力分别从术前的无光感、眼前手动、５０ｃｍ指数、眼前手动、无光感、光感、无光感、眼前手动、无光感到术后的０．２、０．３、０．３＋２、０．４、０．０６、０．３、０．１、０．７、０．１２，３例眼球活动障碍恢复正常，随访时间１个月～１年。讨论了经鼻内窥镜视神经管减压术的手术解剖学，术中注意事项，手术进路的优点和不足。结论认为经鼻内窥镜筛蝶窦进路视神经管减压术术中出血少，手术时间明显缩短，具有更大的实用性，是治疗外伤性视神经外伤的较好手术方法。
Objective To find a better method to treat traumatic optic neuropathy.Methods Fourteen cases were treated by transnasal endoscopic sphenoethmoidal optic canal decompression in clinic. Results Nine of them had their visual acuity improved from NLP, HM, FC/50cm, HM, NLP, LP, NLP, HM, NLP to 0.2, 0.3, 0.3+2, 0.4, 0.06, 0.3, 0.1, 0.7, 0.12 after the operation. The clinical anatomy, attentions during operation, merits of operative approaches were discussed. Conclusion Transnasal endoscopic sphenoethmoidal optic canal decompression is a good method for treatment of posttraumatic optic neuropathy.
出处
《中华耳鼻咽喉科杂志》
CAS
CSCD
1998年第4期225-227,共3页
Chinese Journal of Otorhinolaryngology
关键词
视神经损伤
内窥镜
视神经管减压
Optic nerve diseases Endoscopy Optic canal decompression
