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目的 :对比分析不同入路视神经管减压术的疗效。方法 :比较 1989年 10月至 2 0 0 0年 10月北京同仁医院收治178例进行不同入路视神经管减压术的患者的手术效果。结果 :鼻外开筛视神经管减压开放术总有效率为 6 4 5 % ,眶缘筛前 筛后入路视神经管减压开放术总有效率为 6 3 0 % ,经颅视神经管减压开放术总有效率为 78 0 %。结论 :经颅视神经管减压开放术 ,术野开阔 ,解剖清晰 ,可直接充分有效地开放视神经管骨壁。本术式疗效高 ,安全 ,有条件的地方应积极推广应用
Objective: To compare and analyze the curative effect of optic canal decompression in different ways. Methods: From October 1989 to October 2000 Beijing Tongren Hospital admitted 178 patients undergoing optic canal decompression in different surgical patients. Results: The total effective rate of nasal open screen optic canal decompression and opening surgery was 64.5%. The total effective rate of open screen optic canal decompression and opening before orbital rim screening was 6300%. Transcranial optic canal decompression The total effective rate of open surgery was 78%. Conclusion: Transcranial optic canal decompression and open surgery, open surgical field, clear anatomy, can directly and effectively open the optic nerve wall. The high efficacy of this operation, safety, conditions should be actively promote the use of places