【摘要】 目的探讨外伤性视神经损伤的治疗方法及手术时机。方法回顾分析94例眼外伤性视神经病变患者,分别行以鼻内窥镜下视神经管减压术为主的手术治疗(58眼)和以药物治疗为主的非手术疗法治疗(36例)后的视力恢复情况。结果治疗前有光感至0.02视力者手术治疗组疗效好于非手术疗法治疗组;手术治疗组术前有视力者疗效显著优于术前无视力者;术前病程7d以内者疗效显著优于病程7d及其以上者。结论对于外伤性视神经压迫病变严重影响视力,应在受伤后7d内越早手术越好。术前视力的有无是影响手术效果的重要因素,而术前病程的长短是影响效果的一个更重要因素。更多还原

【Abstract】 Objective To study suitable therapeutic methods and timing of surgery for traumatic optic neuropathy. Methods The efficacy of visual acuity recovery in 94 eyes with traumatic optic neuropathy after treatment with transnasal endoscopic sphenoethmoidal optic canal decompression in 58 eyes and drug therapy in another 36 eyes were retrospectively analysed. Results The effect of surgery was better than that of conservative treatment in patients with visual acuity of LP to 0.02. In surgery group, the therapeutic efficacy of the patients with visual acuity of LP to 0.02 was better than that of the patients without LP. The therapeutic efficacy in patients treated less than seven days before surgery was better than those treated after seven days.Conclusion Patients with serious traumatic compressive optic neuropathy should be operated on within seven days after injury.Presence or absence of vision before surgery is an important factor that affects the therapeutic efficacy, but the duration before surgery is an even more important factor.更多还原