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鼻内镜下视神经管减压治疗外伤性视神经病变

杜伟强

临床与病理杂志Issue(5):806-810,5.
临床与病理杂志Issue(5):806-810,5.DOI:10.3978/j.issn.2095-6959.2015.05.022

鼻内镜下视神经管减压治疗外伤性视神经病变

Endoscopic optic nerve decompression treatment of traumatic optic neuropathy

杜伟强1

作者信息

  • 1. 仙桃市第一人民医院耳鼻咽喉头颈外科,湖北仙桃433000
  • 折叠

摘要

Abstract

Objective:To investigate the efficacy and factors of endoscopic optic nerve decompression for traumatic optic neuropathy. Methods:A retrospective analysis of October 2003 to October 2012 in our hospital during the hospitalization of 49 cases (50) traumatic optic neuropathy’s clinical data, all patients in the implementation of endoscopic optic nerve decompression surgery, comparing the patient’s visual acuity before and atfer surgery, and the impact of prognostic factors were explored. Results:hTe total 49 cases (50) of effective rate was 44.00%(22/50), there is the advantage of the level of light perception vision, eyes manually, a higher vision than 0.02, the difference was statistically significant (P<0.05). Time from injury to surgery within the 3 days and 7 days have a significant effect, the difference was statistically signiifcant (P<0.05). And whether to apply before sex, age, preoperative and intraoperative steroid pulse therapy whether sheathotomy group, the difference was not statistically significant (P>0.05). Conclusion:hTe treatment of endoscopic optic nerve decompression for traumatic optic neuropathy with good results, visual acuity of light perception vision, eyes manually, a higher vision than 0.02 and patients with early surgical intervention within 3 days can be obtained the more signiifcant clinical effect.

关键词

鼻内镜/视神经减压术/外伤性视神经病

Key words

nasal endoscopy/optic nerve decompression/traumatic optic neuropathy

引用本文复制引用

杜伟强..鼻内镜下视神经管减压治疗外伤性视神经病变[J].临床与病理杂志,2015,(5):806-810,5.

临床与病理杂志

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