鼻内窥镜下经蝶窦视神经管减压术疗效观察

来源 :眼科 | 被引量 : 0次 | 上传用户:JK0803tanchanghua
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的 :观察鼻内窥镜下视神经减压术的手术及临床效果。方法 :对 8例因外伤致视神经损伤的病例 ,在全麻下行鼻内窥镜视神经减压术 ,并对术中所见、手术时间及术后视力恢复情况进行临床分析。结果 :8例患者均由该术式视神经减压获得成功 ;原发视神经损伤 3例 ,术后视力无改善 ;继发视神经损伤 5例 ,术后视力有明显的恢复 ,视力分别从术前的无光感、光感、手动 /眼前、手动 /眼前、0 0 4提高到术后的 0 1、0 0 8、0 0 6、0 1、0 1。结论 :视神经损伤一旦确定 ,应尽早手术 ,本术式对筛、蝶窦骨折累及视神经、继发视神经损伤及视神经管内壁骨折者为较好选择 ;伤后有光感或视力渐进下降者 ,手术效果较好 ,对伤后无光感的患者 ,应认真分析损伤情况 ,对有视功能改善可能者 ,亦可尽早实施手术 ;手术时间尽早为好 ,但伤后时间较长者 ,亦不能放弃争取视功能改善的机会。 Objective: To observe the operation and clinical effect of optic nerve decompression under nasal endoscopy. Methods: 8 cases of optic nerve injury caused by trauma underwent nasal endoscopic decompression under general anesthesia, and intraoperative findings, operative time and postoperative visual acuity recovery clinical analysis. Results: All the 8 patients were successfully treated by decompression of the optic nerve. The primary optic nerve injury was performed in 3 cases, the visual acuity was not improved after operation. In 5 cases, secondary visual acuity was recovered and visual acuity was recovered obviously. The visual acuity No light feeling, light sense, manual / immediate, manual / immediate, 0 0 4 increased to postoperative 0 1,0 0 8,0 0 6,0 1,0 1. CONCLUSIONS: Once the optic nerve injury is confirmed, surgery should be performed as soon as possible. This procedure is good for screening the sphenoid sinus and the sphenoid sinus involving the optic nerve, secondary optic nerve injury and internal wall fracture of optic canal. The effect is better, no light perception of patients after injury, should carefully analyze the damage situation, for those who have visual function improvement may also be the implementation of surgery as soon as possible; the operation time as soon as possible, but after the injury, those who can not give up Strive for visual function improvement opportunities.
其他文献
伴随着我国交通事业的快速发展以及国民经济实力的不断提高,对于路桥工程的需求日益增加。作为一项与社会建设息息相关的基础性工程,对路桥施工的技术与质量要求更应提高。路桥
期刊
在2006年全国水运建设工作会议上,交通部提出了到2010年,水路基础设施紧张状况得到总体缓解,港口布局合理,航道网络基本形成,水运基础设施能力明显提高,建设市场逐步完善,创
目的 :报告 2 75例 (310只眼 )慢性泪囊炎接受鼻内镜下经鼻行泪囊鼻腔造孔术治疗后 ,9只眼患者自然泪道复通现象。方法 :2 75例 (310只眼 )慢性泪囊病变患者接受鼻内镜下泪囊
本文探讨了在超声诊断学教学中应用启发式教学,以激发学生的学习兴趣,培养学生的学习能力,使其掌握科学的学习方法,从而成功实现教学目的.在应用启发式教学时,应当注重有效地组织和引导学生,选择适宜的题材和营造创新思维的氛围。
最佳球鞋:rnadidas Barricade 7rn男子网坛迎来了全新的伟大对手:德约科维奇与穆雷,两人包揽了最近十次大满贯男单比赛的六次冠军.生日仅相隔一周的两人在选择球鞋上也表现出
像传输线那样,可以测试任何一种滤波器或陷波器的阻抗和频率响应。滤波器在其带宽内应该具有等于输入激励源阻抗和负载阻抗的输入阻抗和输出阻抗。为了测试阻抗,可以进行开
要问2017安防行业两个关键词,绝对当属大数据和人工智能,而2017深圳安博会是一个技术舞台,各大家各擅所长.科达,借上市东风,在安防行业又掀风云.rn当“AI”上大数据,科达将无
期刊
期刊