摘要
目的 评价手术疗法和非手术疗法治疗外伤性视神经病变的疗效和影响疗效的临床因素。 方法 回顾分析 40例外伤性视神经病变患者 41只眼分别行以鼻内窥镜下视神经管减压术为主的手术治疗 (2 8例 )和以药物治疗为主的非手术疗法治疗 (12例 )后的视力恢复情况。 结果 治疗前有光感～ 0 .0 2视力者手术治疗组与非手术疗法治疗组的疗效差别不显著 ;手术治疗组术前有光感～ 0 .0 2视力者疗效显著优于术前无光感者 ;手术前病程 7d以内者疗效优于病程 7d以上者。 结论 对于严重的外伤性视神经压迫病变应尽早手术。手术前有无视力及病程长短是影响手术效果的重要因素 ,在受伤后 7d内越早手术治疗效果越好。
objective To evaluate the therapeutic efficacy of surgical and nonsurgical treatment and the clinical factors affecting the efficacy in traumatic optic neuropathy. Methods To analyse retrospectively the efficacy of recovery of visual acuity in 40 cases of traumatic optic neuropathy after treatment with transnasal endoscopic sphenoethmoidal optic canal decompression (28 cases) and drug therapy (12 cases). Results No significant difference existed between the therapeutic efficacy of surgery and that of drug therapy in patients with the visual acuity of LP～0.02. In surgery group,the therapeutic efficacy of the patients with visual acuity of LP～0.02 was better than that of the patients with no LP.The therapeutic efficacy of patients with duration shorter than seven days before sutgery is better than that of patients with duration longer than seven days. Conclusions The patients with serious traumatic comperssive optic neuropathy should not be treated with decompressive surgery and should not delay to at most seven days after injury.With or without the visual acuity of light perception of the affected eye surgery is usually an important factor affecting the therapeutic efficacy.
出处
《中华眼底病杂志》
CAS
CSCD
2001年第3期204-206,共3页
Chinese Journal of Ocular Fundus Diseases
关键词
眼外伤
视神经损伤
眼外科手术
药物治疗
Optic nerve injuries/surgery
Optic nerve injuries/drug therapy
