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上颌窦筛窦径路视神经管减压术的临床探讨
引用本文:李志春,徐国兴.上颌窦筛窦径路视神经管减压术的临床探讨[J].中国耳鼻咽喉颅底外科杂志,1998,4(1):23-25.
作者姓名:李志春  徐国兴
作者单位:福建医科大学第一临床学院耳鼻咽喉科!福州,350005,福建医科大学第一临床学院眼科!福州,350005,福建医科大学第一临床学院耳鼻咽喉科!福州,350005,福建医科大学第二临床学院耳鼻咽喉科!泉州,362000,福建医科大学第一临床学院耳鼻咽喉科!福州,350005
摘    要:目的:抢救视神经因外伤、炎症所致的视力障碍。方法:经上唇龈扩大柯陆氏切口,上颌窦、筛窦径路显微镜下持视神经管减压术12例。结果:术后视力不同程序恢复5例,7例地效。结论:一旦视神经管骨折,视力呈进行性减退,或失去光感经激素、脱水消炎等治疗无效,应尽快行减压术。

关 键 词:上颌窦  筛窦  视神经管减压术  视力障碍

CLINICAL STUDY OF OPTIC NERVE TUBE DECOMPRESSION THROUGH TUBE DECOMPRESSION THROUGH MAXILLARY AND SIEVE SINUSES
Li Zhichun, Xu Guoxing, Yang Jirigsong, et al.CLINICAL STUDY OF OPTIC NERVE TUBE DECOMPRESSION THROUGH TUBE DECOMPRESSION THROUGH MAXILLARY AND SIEVE SINUSES[J].Chinese Journal of Otorhinolaryngology-skull Base Surgery,1998,4(1):23-25.
Authors:Li Zhichun  Xu Guoxing  Yang Jirigsong  
Abstract:Objective: To remove visual acuity block due to trauma of nerve and inflammation. Methods: 12 patients received the operation of optic nerve tube decompression through incision of caldwell-luc extended from the upper lip, maxillary sinus and esthmoid sinus under operative microscope. Results: Visual acuity was restored to various degrees in 5 cases postoperatively. / cases failed in the treatment.Conclusion : Once the optic nerve tube is fractured with visual acuity in progressive reduction of L. P loss and failure in therapy of hormone, dehydration and anti-inflammation occurs, optic nerve tube decomtression need be performed as soon as possible.
Keywords:Maxillary sinus  Ethmoid sinus Optic nerve Decompression Operative  
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