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目的 :观察经鼻外筛蝶窦径路行视神经减压术辅助药物治疗对外伤性视神经损伤的疗效。方法 :14例外伤性视神经损伤患者经鼻外筛蝶窦径路行视神经减压术的同时辅以大剂量激素及神经营养药物治疗。结果 :总有效率为 5 7.14% ,术中、术后无任何严重并发症 ;其中 2例伤后 8、11d手术 ,术后 6个月仍无光感。结论 :鼻外筛蝶窦径路行视神经减压术损伤较小 ,术野暴露充分 ,简易安全 ;同时辅以药物治疗 ,更有利于神经功能恢复。综合性治疗对外伤性失明患者是一种较好的措施。
Objective: To observe the efficacy of optic nerve decompression via nasal esophagogastrostomy in the treatment of traumatic optic nerve injury. Methods: Fourteen patients with traumatic optic nerve injury underwent transsphenoidal sinus surgery with optic nerve decompression and high dose of hormone and neurotrophic drugs. Results: The total effective rate was 51.14%. There were no serious complications during or after operation. Two of them were operated on 8 and 11 days after operation, and still no sensation after 6 months. CONCLUSION: The operation of optic nerve decompression on the stenotic sinomenastrophic lateralis lesion is small, and the surgical field is fully exposed and safe. At the same time, it is more conducive to the recovery of nerve function. Comprehensive treatment of traumatic blindness patients is a better measure.