内镜经鼻视神经管减压和经颅减压术的对比研究

目的 比较分析经鼻蝶和经颅入路行视神经管减压术的临床疗效和手术优势.方法 回顾性分析我科收治的视神经损伤病人28例(29眼).神经内镜经鼻入路减压12例(13眼),经颅显微镜下视神经管减压术16例(16眼).结果 经颅组有效7例,无效9例,并发症3例；内镜组有效7例,无效5例,无并发症的发生.结论 内镜下经鼻入路视神经管减压术临床效果优于经颅减压,创伤小,并发症少,临床应用前景好.

Clinical comparative study of optic canal decompression by endoscopic transnasal and transcranial approaches

Objective To comparative analysis the clinical efficacy and surgical advantages of decompression of optic canal via endoscopic transnasal and transcranial approaches.Methods The clinical data of 28 patients（29 eyes） with optic nerve damage were analyzed retrospectively.The optic canals were decompressed via endoscopic transnasal approach in 12 patients（13 eyes） and via transcranial approach in 16 patients（16 eyes）.Results The decompression of optic canal was effective in 7 patients and not effective in 9,with 3 cases of complication,in transcranial approach group.The decompression was effective in 7 patients and not effective in 5, without occurrence of complication in endoscopic transnasal approach group.Conclusions The efficacy of optic canal decompression is better via endoscopic transnasal approach than via transcranial approach.The former has several advantages over the latter,namely a smaller wound and less complications,with a better clinical application prospect.