中华脑科疾病与康复杂志(电子版)2023,Vol.13Issue(6):369-372,4.DOI:10.3877/cma.j.issn.2095-123X.2023.06.009
外伤性视神经病变的治疗进展
Progress in treatment of traumatic optic neuropathy
张川 1姚宝群2
作者信息
- 1. 300052 天津,天津医科大学总医院神经外科
- 2. 300052 天津,天津医科大学总医院眼科
- 折叠
摘要
Abstract
Traumatic optic neuropathy(TON)is a significant cause of severe visual loss after craniofacial trauma.The optic canal and its anterior and posterior ends are the main areas of TON.At present,the treatment of TON mainly includes simple observation,glucocorticoid therapy,and optic canal decompression surgery.However,there is currently no unified standard on how to choose the treatment method,grasp the timing of treatment,and which surgical approach to use.Research suggests that regardless of the use of glucocorticoids,optic canal decompression surgery,especially endoscopic transnasal transsphenoidal optical canal decompression,can significantly improve the visual acuity of TON patients.Early surgery and initial vision are important factors that affect the effectiveness of surgical treatment.This article reviews the treatment progress of TON.关键词
外伤性视神经病变/内镜经鼻视神经管减压术/手术时机/糖皮质激素治疗Key words
Traumatic optic neuropathy/Endoscopic transnasal-transethmosphenoid optic canal decompression/Operation time/Glucocorticoid therapy引用本文复制引用
张川,姚宝群..外伤性视神经病变的治疗进展[J].中华脑科疾病与康复杂志(电子版),2023,13(6):369-372,4.