报告采用鼻外经筛蝶窦进路的视神经管减压术治疗外伤性视神经管骨折导致失明的病人15例。其中8例获得程度不同的视力恢复(53％),2例眶上裂综合征完全消失。并分析了本手术成败的原因,介绍同时处理蝶鞍和眶尖区其它损伤的方法。认为,本手术具有重要的临床实用价值,值得推广。 Reported the use of the nasal canal by the sphenoid sinus approach of optic canal decompression in the treatment of traumatic optic nerve canal fracture led to blindness in 15 patients. Eight of the patients had different degrees of visual acuity recovery (53%), and 2 cases of superior orbital fissure syndrome completely disappeared. And analyzed the reasons for the success or failure of the operation, introduced at the same time dealing with the sella and the other areas of the orbital apex damage. That this surgery has important clinical value, it is worth promoting.