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管内段视神经间接损伤20例疗效分析 被引量:9

Analysis of therapeutic efficacy of indirect injury of the intracanalicular portion of the optic nerve in 20 cases.
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摘要 目的 评价视神经鞘减压术的疗效。方法  2 0例管内段视神经间接损伤患者中 (视力光感者 3例 ,无光感者 17例 ) 5例施视神经管减压开放术 ,9例施视神经鞘减压术 ,6例拒绝接受手术 ,使用药物治疗。结果  5例视神经管减压开放术 ,治疗效果均不明显。 9例视神经鞘减压术中 ,3例治疗效果显著。 6例药物治疗者 ,治疗效果均不明显。结论 视神经鞘减压术治疗管内段视神经间接损伤 ,此方法有效可行。 Objective To evaluate the therapeutic efficacy of decompression of optic nerve sheath in the patients with indirect injury of the intracanalicular portion of the optic nerve.Methods Decompression of optic nerve canal was performed in 5 patients and decompression of optic nerve sheath was performed in 9 patients and drugs were administrated to 6 patients refusing to perform surgery among 20 cases,17 patients without light perception and 3 with light perception.Results Decompression of optic nerve canal in 5 cases and drug treatment in 6 cases have no obvious therapeutic efficacy.Significant visual improvement was found in 3 cases among 9 cases with decompression of optic nerve sheath and the therapeutic effectiveness was 33.33%.Conclusions Decompression of optic nerve sheath can be performed on patients with indirect injury of the intracanalicular portion of the optic nerve.This method is effective and applicable.
作者 鞠岩
出处 《眼外伤职业眼病杂志》 北大核心 2000年第2期154-155,共2页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 视神经 眼损伤 眼外科手术 Optic nerve Ocular trauma Surger Eye
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  • 1[1]BILLSON FA,HUDSON RL.Surgical treatment of chronic papilloedema in children.Brit J Ophthalmol,1975,59:92
  • 2[2]Hupp SL,Buckley EG,Byrne SF,et al.Posttraumatic venous obstructive retinopathy associated with enlarged optic nerve sheath.Arch Ophthalmol,1984,102:254
  • 3[3]Smith JL,Hoyt WF,Newton TH.Optic nerve sheath decompression for relief of chronic monocular choked disc.Am J Ophthalmol,1969,68:633
  • 4过慧君 燕江陵 等.管内段视神经间接损伤的治疗[J].中华眼科杂志,1986,22:215-215.

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