摘要
目的:探讨视神经管减压术治疗外伤性视力障碍的有效方法。方法:采用鼻内镜下视神经减压术治疗外伤性视力障碍患者14例。结果:随访3～18个月,其中8例有不同程度视力改善,6例无效。术后全部患者术腔上皮化,无并发症发生。结论:经鼻内镜筛蝶窦入路视神经减压术损伤较小、疗效确切,且不遗留面部瘢痕,容易为患者所接受。对伤后数天至1个月、大剂量激素治疗无效、视力损伤严重的患者,手术仍有可能挽救视力。
Objective: To review our experience of treatment of optic nerve decompression in traumatic visual loss by using endoscopic technique. Method: Fourteen cases patients with traumatic visual loss were undergone en-doscopic optic nerve decompression. All patients were followed up for 3-18 months. Result: Eight cases had improved visual acuity, and 6 cases did not. No complication had happened. Conclusion; Endoscopic optic nerve decompression is an appropriate technique for patients with traumatic visual loss. Even though high-dose steroid treatment has failed, optic nerve decompression may improve visual acuity.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2003年第4期205-206,共2页
Journal of Clinical Otorhinolaryngology
关键词
视觉障碍
外伤性
鼻内镜
视神经减压术
Vision disorders,traumatic
Nasal endoscopy
Optic nerve decompression
