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目的 :报告视神经挫伤行视神经管减压术的治疗效果。方法 :手术治疗限定于外伤后不超过 1月且无严重颅脑损伤及无严重全身疾病者。采用局麻筛蝶窦入口法 ,手术前后常规用糖皮质激素及神经生长因子。结果 :2 0例术前无光感 1 6例 ,术后 1周视力有光感及手动以上 1 2例 ,占 75% ;术前视力在手动～ 0 .0 4以内 4例 ,术后视力均提高。术后随访 3个月除 2例外视力均有提高 ,最好达到 0 .3。结论 :视神经挫伤病期不超过 1月虽视力已无光感也不应放弃行视神经管减压术。
OBJECTIVE: To report the treatment of optic nerve canal decompression under optic nerve contusion. Methods: Surgical treatment was limited to no more than 1 month after trauma and no serious brain injury and no serious systemic disease. Local anesthesia with sphenoid sinus entrance method, before and after surgery with glucocorticoid and nerve growth factor. Results: There were 16 cases of non-light feeling before operation, one week after operation, there was 12 cases of visual acuity and manual operation, accounting for 75%; 4 cases of preoperative visual acuity were within ~0.04 manual operation, All improved. Follow-up 3 months after surgery in addition to 2 cases have improved visual acuity, preferably up to 0 .3. Conclusion: The period of optic nerve contusion does not exceed 1 month although the visual acuity has no light sensation nor should the optic canal decompression.