经鼻内窥镜视神经管减压术

Optic canal decompression by transnasal endoscopic approach

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例视力分别从术前的无光感、眼前手动、5 0cm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 3 ,0 4,0 0 6,0 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 ,是治疗外伤性视神经损伤的较好手术方法。

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.