临床眼科杂志Issue(3)：251-253,3.DOI:10.3969/j.issn.1006-8422.2015.03.019
视神经管减压术与单纯激素冲击疗法对视神经管骨折患者视力预后的对比分析
The comparative analysis of prognostic vision between optic canal decompression and high-dose corticosteroid in treating the optic canal fracture patients
张桐 1王凡寅 1杨娟 1关文明 2崔极哲 2刘旭阳 1刘桂琴1
作者信息
- 1. 518040 深圳，暨南大学附属深圳眼科医院深圳眼科学重点实验室深圳市眼科医院
- 2. 130041 长春，吉林大学第二医院
- 折叠
摘要
Abstract
Objective To analyze the efficacy between optic canal decompression and high-dose corticosteroid. Methods A retrospective study of 51 optic canal fracture patients who were diagnosed by CT between Aug,2005 and Jun, 2014. 24 patients were supposed to treat with optic canal decompression while the other 27 patients were treated with high-dose corticosteroid. Then we contrast the efficacy between these two methods. Results In the optic canal decompression group,7 days after surgery,10 out of 24 had improved vision and the effective rate was 42% . And in the high-dose corti-costeroid group,all patients were treated with Methyprednisolon through intravenous instillation,500mg/ d for 3 days and then 300mg/ d for 3 days. Then oral hydroprednisone was used with 0. 8mg per kilo of weight and the dosage was reduced individually. 7 days after high-dose corticosteroid,9 of 27 had improved vision and the effective rate was 33% . There is no significant difference between the two methods (P = 0. 539 > 0. 05). Conclusion The prognostic vision has no significant difference between optic canal decompression and high-dose corticosteroid in treating the optic canal fracture patients in a short period.关键词
视神经管减压术/激素冲击疗法/视神经管骨折Key words
Optic canal decompression/Hgh-dose corticosteroid/Optic canal fracture引用本文复制引用
张桐,王凡寅,杨娟,关文明,崔极哲,刘旭阳,刘桂琴..视神经管减压术与单纯激素冲击疗法对视神经管骨折患者视力预后的对比分析[J].临床眼科杂志,2015,(3):251-253,3.
