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目的探讨经鼻内镜鼻窦手术治疗视神经炎的疗效。方法对13例视神经炎合并鼻窦疾病患者采用经鼻内镜鼻窦手术治疗,随访观察手术疗效。结果 11例最佳矫正视力较术前均有不同程度提高,2例视力无改善。视野检查8例中心暗点较术前缩小或消失,5例中心暗点无改变。全部病例术后鼻腔通气良好,各窦口引流通畅、无水肿、囊泡及异常分泌物,鼻窦术腔黏膜光滑。结论经鼻内镜鼻窦手术治疗视神经炎合并鼻窦疾病,具有较好疗效。
Objective To investigate the efficacy of endoscopic sinus surgery in the treatment of optic neuritis. Methods Thirteen patients with optic neuritis complicated with sinus diseases were treated with transnasal endoscopic sinus surgery. The curative effect was observed. Results The best corrected visual acuity in 11 cases was improved to some extent compared with that before operation, and no improvement in visual acuity in 2 cases. Visual field examination 8 cases of dark spots diminished or disappeared compared with preoperative, 5 cases of central dark spots unchanged. All cases of nasal ventilation after surgery, the sinus ostium drainage, no edema, vesicles and abnormal secretions, sinus mucosa smooth. Conclusion Nasal endoscopic sinus surgery for the treatment of optic neuritis with sinus disease has good curative effect.