眼科新进展2017，Vol.37Issue(7)：640-642,646,4.DOI:10.13389/j.cnki.rao.2017.0162
微创鼻内镜下视神经减压术在外伤性视神经病患者中的应用
Application of minimally invasive endoscopic optic nerve decompression in patients with traumatic optic neuropathy
摘要
Abstract
Objective To analyze the application effects of endoscopic optic nerve decompression in patients with traumatic optic neuropathy and its effect on visual acuity.Methods From January 2014 to January 2016,100 patients (100 eyes) with traumatic optic neuropathy in our hospital were selected as observation objects.According to different treatment methods,the patients were divided into observation group and control group,50 cases in each group.The control group was treated with drugs,and the observation group with endoscopic sinus decompression of optic nerve on the basis of the control group after the stability of the disease.The patients in two groups were followed up at least 1 year.The clinical efficacy,visual acuity,VEP findings and incidence of adverse reactions were compared between the two groups.Results The effective rates in the observation group and control group were 76.0％ and 36.0％,there was significant difference between two groups (P ＜ O.05).In the observation group,the visual acuity of 16 eyes were improved in 22 eyes with no light perception,9 eyes in 13 eyes with light perception,9 eyes in 11 eyes with hand movement,and 4 eyes with finger counting were all improved;In the control group,the visual acuity of 6 eyes were improved in 20 eyes with no light perception,6 eyes in 14 eyes with light perception,5 eyes in 12 eyes with hand movement,1 eye in 4 eyes with finger counting.After treatment,the incubation period and amplitude of P1O0 in the observation group were (116.85 ±7.96) ms and (5.11 ± 1.16) μV,which were better than the control group (105.62 ±6.82) ms,(4.31 ± 1.25) μV.The incidence of adverse reaction in the observation group was significantly lower than that in the control group (P =O.000).Conclusion The endoscopic optic nerve decompression has a good application effect and safety in patients with traumatic optic neuropathy,can effectively improve the patient's visual acuity,help to improve the quality of life of patients,is worthy of clinical application.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分类
医药卫生引用本文复制引用
史凌改,王广科,刘军,刘飞,李士清..微创鼻内镜下视神经减压术在外伤性视神经病患者中的应用[J].眼科新进展,2017,37(7):640-642,646,4.基金项目
国家自然科学基金资助(编号:81301328) （编号:81301328）
河南省科技攻关项目(编号:142102310078).National Natural Science Foundation of China (No:81301328) （编号:142102310078）
Supported by Henan Science and Technology Research Fund (No:142102310078) （No:142102310078）
