解放军医学院学报2025，Vol.46Issue(9)：825-831,847,8.DOI:10.12435/j.issn.2095-5227.24071602
经鼻内镜视神经减压治疗外伤性视神经病变的研究进展及展望
Research advances and prospect of endoscopic transnasal optic nerve decompression for traumatic optic neuropathy
摘要
Abstract
Traumatic optic neuropathy(TON)is an injury to the optic nerve caused by craniomaxillofacial trauma,characterized by a sudden decline in vision or complete blindness.Clinical interventions for TON include simple observation,corticosteroid therapy,and optic nerve decompression.However,there is controversy over which treatment method is optimal.With advancements in endoscopic techniques,endoscopic transnasal optic nerve decompression(ETOND)has increasingly become a mainstream method for treating TON.Despite this,there is a lack of high-quality randomized controlled trials to evaluate its efficacy.Furthermore,treatment outcomes are influenced by several factors,including the timing of surgery,the severity of vision loss,optic canal fractures,optic nerve sheath incision,and hemorrhage within the ethmoid and/or sphenoid sinuses.This review provides an overview of the recent clinical efficacy,prognostic factors,and technological innovations in ETOND for the treatment of TON.关键词
外伤性视神经病变/视神经减压术/神经内镜/治疗/预后因素Key words
traumatic optic neuropathy/optic nerve decompression/neuroendoscopes/therapy/prognostic factors分类
医药卫生引用本文复制引用
王哲,李昉晔..经鼻内镜视神经减压治疗外伤性视神经病变的研究进展及展望[J].解放军医学院学报,2025,46(9):825-831,847,8.基金项目
海南省自然科学基金青年基金项目(819QN378) （819QN378）
省部级课题 （）
