鼻内镜下视神经减压术治疗外伤性视神经病212例报告

陈敏; 姜彦; 庞文会; 李娜; 牛永芝; 赵涵

doi:10.13201/j.issn.1001-1781.2017.18.008

鼻内镜下视神经减压术治疗外伤性视神经病212例报告

- 1. 青岛大学附属医院耳鼻咽喉科(山东青岛, 266003);
- 2. 青岛大学附属医院病理科

详细信息

通讯作者: 李娜,E-mail:Dr.lina@163.com

中图分类号: R774.6

收稿日期: 2017-05-30

A 212 cases analysis of treatment for traumatic optic neuropathy by nasal endoscopic opticnerve decompression

- 1. Department of Otolaryngology, the Affiliated Hospital of Qingdao University, Qingdao, 266003, China;
- 2. Department of Pathology, the Affiliated Hospital of Qingdao University

More Information

Corresponding author: LI Na, E-mail: Dr.lina@163.com

Received Date: 30 May 2017

摘要

摘要: 目的：探讨鼻内镜下视神经减压术治疗外伤性视神经病（TON）的临床特点和疗效。方法：回顾性分析1999-04-2016-09期间因TON行鼻内镜手术的212例（217眼）患者资料，并对预后的影响因素进行探讨。结果：术后随访6个月~2年， 217眼中118眼视力有提高，总有效率为54.38%，其中无光感166眼中77眼有效，有效率为46.39%，有光感以上视力51眼中41眼有效，有效率为80.39%。受伤后视力有光感以上残余视力患者疗效显著，差异有统计学意义（χ²=18.186，P<0.01），伤后无视神经管骨折患者疗效显著，差异有统计学意义（χ²=10.096，P<0.01）。结论：鼻内镜下视神经减压术治疗TON疗效确切，对于伤后无光感、受伤时间长的患者也不应放弃手术机会。
- 外伤性视神经病 /
- 鼻内镜 /
- 视神经减压术 /
- 疗效
Abstract: Objective: To explore the clinical features and therapeutic efficacy of nasal endoscopic optic nerve decompression for traumatic optic neuropathy (TON)treatment.Method: Two hundred and twelve cases (217 eyes) with TON were retrospectively analyzed in our study, who were treated with nasal endoscopic optic nerve decompression in our institution from 1999 to 2016.χ²-test was used to explore the potential prognostic factors on visual acuity.Result: All patients were followed up from 6 months to 2 years postoperatively, and the effective rate was 54.38% (118/217).In the 166 eyes with no light perception (NLP), the effective rate was 46.39% (77/166), while in the 51 eyes with light perception (LP), the effective rate was 80.39% (41/51).The therapeutic efficacy of patients with LP or above LP was better than that of NLP, and the difference was statistically significant (χ²=18.186, P<0.01).Moreover, the therapeutic efficacy of patients without an optic canal fracture was better than that with an optic canal fracture,and the difference had statistical significance (χ²=10.096, P<0.01).Conclusion: The efficacy of nasal endoscopic optic nerve decompression on TON was positive, and even for the patients with NLP or a long history also should have a try.
- traumatic optic neuropathy /
- optic nerve decompression /
- nasal endoscopic /
- efficacy

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