| 外伤性视神经病变外科治疗的意义及疗效 |
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| 引用本文： | 李源 许庚 等. 外伤性视神经病变外科治疗的意义及疗效[J]. 中华耳鼻咽喉科杂志, 2002, 37(3): 206-209 |
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| 作者姓名： | 李源 许庚 等 |
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| 摘 要： | 目的 探讨外伤性视神经病变（traumatic optic neuropathy,TON)外科治疗的意义及疗效。方法 分析52例（53眼）经鼻内镜视神经管减压术（53眼）和眶尖减压术（8眼）的治疗效果，随访6个月－3年。结果 21眼获视力改善（39．6％），其中皮质类固醇激素治疗无效进而采取手术者14眼有效（14／37，37．8％），未经激素治疗即手术者7眼有效（7／16，43．8％）；无光感者18眼获视力改善（18／49，36．7％），术前有残余视力者3眼有效（3/4,75.0%)。结论 外科治疗对提高TON疗效有重要意义。
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| 关 键 词： | 外伤性视神经病变 外科治疗 疗效 |
Traumatic optic neuropathy: importance and result of surgical treatment] |
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| Yuan Li,Geng Xu,Minqiang Xie,Gehua Zhang,Xian Liu,Rui Xu. Traumatic optic neuropathy: importance and result of surgical treatment][J]. Chinese Journal of Otorhinolaryngology, 2002, 37(3): 206-209 |
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| Authors: | Yuan Li Geng Xu Minqiang Xie Gehua Zhang Xian Liu Rui Xu |
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| Affiliation: | Department of Otorhinolaryngology Head & Neck Surgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China. binqixiu@163.net |
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| Abstract: | OBJECTIVE: To explore the importance and result of surgical treatment in traumatic optic neuropathy (TON). METHODS: The results of optic canal and orbital apex decompression by the endonasal endoscopic approach were analyzed in 52 cases (53 eyes), follow up 6 months to 3 years. RESULTS: Twenty one eyes (39.6%) consisting of 14 eyes without effect by corticosteroids treatment(14/37, 37.8%) and 7 eyes with single surgery(7/16, 43.8%) showed improved vision after surgery. 18 eyes with no light perception (18/49, 36.7%) and 3 eyes with poor sight (3/4, 75.0%) had improved vision after surgery. CONCLUSION: The surgical treatment is important for elevating curative effect of TON. |
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