急性颅脑损伤并发视神经损伤的诊治探讨

目的：探讨急性颅脑损伤并发视神经损伤的病因、损伤机制及其诊治经验。方法：总结2009-02-2011-06我院收治的72例颅脑损伤并发视神经损伤病例,其中手术治疗45例,非手术治疗27例,采用焦氏评价法评价视力。结果：手术治疗病例总有效率84.4%,其中术前视力完全丧失病例有效率为46.2%,术前视力残存病例有效率为100%。非手术治疗病例总有效率63.0%,其中治疗前视力残存病例有效率77.8%,视力完全丧失病例有效率33.3%。结论：视神经损伤总体预后较差,早期诊断和及时治疗是提高视力的关键,有手术指征的应尽早手术治疗。

Diagnosis and treatment of acute craniocerebral injury complicated with optic nerve injury

Objective：To discuss the cause,injury mechanisms and treatment of craniocerebral injury with optic nerve trauma.Method：Summary 72 patients of craniocerebral injury with optic nerve trauma from February 2009 to June 2011 in TONGREN hospital,45 patients had surgery,27 patients were non-surgical treatment.Result：The total effective rate in patients with surgical treatment was 84.4%,the patients with completely vision loss preoperative the effective rate was 46.2%,the patients of visual acuity remaining preoperative,the effective rate was 100%.Non-surgical treatment of patients have 63.0% total effective rate,the patients of visual acuity remaining,the effective rate was 77.8%,the patients with completely vision loss,the effective rate was 33.3%.Conclusion：The prognosis of Optic nerve trauma was poorly,early diagnosis and timely and effective treatment is to improve the vision of an integrated key,the patients with optic nerve trauma should be treated immediately with surgery to testify as early as possible surgery once diagnosed.