| 外伤性视神经病变28例疗效分析 |
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| 引用本文： | 施天严,陈旭阳,张秀珍,吕小玲,徐洁慧. 外伤性视神经病变28例疗效分析[J]. 中国实用眼科杂志, 2002, 20(12): 901-903 |
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| 作者姓名： | 施天严 陈旭阳 张秀珍 吕小玲 徐洁慧 |
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| 作者单位： | 温州医学院附属第五医院丽水市中心医院眼科,323000 |
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| 摘 要： | 目的 :探讨外伤性视神经病变的诊断和治疗效果。方法 :外伤性视神经病变 2 8例 2 8眼分A组 (经眶筛进路视神经减压术 7例 )、B组 (大剂量皮质激素 灯盏细辛注射液 11例 )、C组 (皮质激素 一般药物 10例 ) 3种方法进行对比治疗。结果 :2 8例最终有效率为 78 5 7% ,显效率 64 2 9% ,无效 2 1 43 %。有效率A组 (85 71% ) ,B组 (90 91% ) ,C组 (60 % )间差异无显著性意义。 3天内开始治疗组与 15天以上治疗组有效率比较 0 0 1
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| 关 键 词： | 视神经 损伤 手术 灯盏细辛 |
| 修稿时间： | 2002-05-01 |
Clinical analysis of 28 cases of traumatic optic neuropathy |
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| Shi Tianyan,Chen Xuyang,Zhang Xiuzhen,Lu Xiaoling,Xu Jienhui. Clinical analysis of 28 cases of traumatic optic neuropathy[J]. Chinese Journal of Practical Ophthalmology, 2002, 20(12): 901-903 |
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| Authors: | Shi Tianyan Chen Xuyang Zhang Xiuzhen Lu Xiaoling Xu Jienhui |
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| Affiliation: | Shi Tianyan,Chen Xuyang,Zhang Xiuzhen,Lu Xiaoling,Xu JienhuiDepartment of Ophthalmology,The Central Hospital,Lishui,Zhejiang 323000,China |
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| Abstract: | Objective:To study the diagnostic methods and the treatment effects of traumatic optic neuropathy. Methods:28 cases of traumatic optic neuropathy were categorized as being in one of the following 3 groups:A group (7 cases,optic canal decompression through orbital ethmoidal sinus rout),B group (11 cases,mega dose corticosteroids with Dengzhanxixin),and C group (10 cases,corticosteroids with conventional treatment). Results:In 28 cases,visual acuity improved in 78 57%.The effective rate of the treatment in eyes with light perception was significantly higher than that with no light perception (P<0 01).The effective rate in patients treated within 3 days after injury was significantly higher than that beyond 15 days (P<0 05). Conclusions:Optic canal decompression,mega dose corticosteroids and Dengzhanxixin may be benefit to the treatment of traumatic optic neuropathy. |
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| Keywords: | Optic nerve Injury Surgery |
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