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经鼻内窥镜视神经管减压术
引用本文:史剑波,许庚,李源.经鼻内窥镜视神经管减压术[J].广东医学,2001,22(4):279-280.
作者姓名:史剑波  许庚  李源
作者单位:1. 暨南大学医学院第一附属医院耳鼻咽喉科,
2. 中山医科大学附属第三医院耳鼻咽喉科,
基金项目:国家杰出青年基金资助课题!(编号 :970 2 50 2 5)
摘    要:目的 探索治疗外伤性视神经损伤较好的手术路径和方法。方法 采用经鼻内窥镜筛蝶窦进路视神经管减压术治疗外伤性视神经损伤。结果 17例患者中10例分别从术前的无光感、眼前手动、50cm指数、眼前手动、无光感、光感、无光感、眼前手动、无光感、眼前手动提高到术后的0.2,0.3,0.4,0.06,0.3,0.1,0.7,0.12,0.8,4例眼球活动障碍恢复正常,1例眼球外突恢复正常,随访1个月至1年。结论 经鼻内窥镜筛蝶窦进路视神经管减压术进路直接,损伤组织少,术中出血少,手术时间明显缩短,是治疗外外性神经损伤的较好手术方法。

关 键 词:外伤性视神经损伤  鼻内窥镜  视神经管减压术  手术径路
修稿时间:2001年1月8日

Optic canal decompression by transnasal endoscopic approach
Shi Jianbo,Xu Geng,Li Yuan.Optic canal decompression by transnasal endoscopic approach[J].Guangdong Medical Journal,2001,22(4):279-280.
Authors:Shi Jianbo  Xu Geng  Li Yuan
Abstract:Objective To search for a better method for treatment of traumatic optic neuropathy.Methods Seventeen cases were treated by transnasal endoscopic sphenoethmoidal optic canal decompression.Results The visual acuity in 10 cases was improved from NLP, HM,CF/50cm,HM,NLP,LP,NLP,HM,NLP,HM to 0.2, 0.3,0.3,0.4,0.06,0.3,0.1,0.7,0.12,0.8 after the operation. Hypoactivity of eyeball was recovered in 4 cases. Conclusion Transnasal endoscopic sphenoethmoidal optic canal decompression is a better method for treatment of post-traumatic optic neuropathy.
Keywords:Optic nerve injuries\  Nasal endoscopy\    Decompression
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