CAJ | 학술논문

目的：观察视神经损伤患者鼻内镜减压术治疗效果。方法回顾性分析武警总医院耳鼻咽喉头颈外科2012－08至2014－04收治的28例（28只眼）视神经损伤患者的临床资料。所有患者均实施经鼻内镜视神经减压术，观察患者的临床治疗效果，并对患者的术后视力进行分析评价。结果15例术后视力有所改善；24例术前无光感患者中，12例术后恢复光感；3例术前视力下降患者术后视力均有不同程度恢复。结论针对视神经损伤患者行经鼻内镜视神经减压术进行治疗，并根据患者视神经损伤的程度和类型给予针对性的手术治疗，可帮助改善患者视力，并且具有手术创伤小、术后恢复快、并发症少等优点，有较好的临床疗效。
목적：관찰시신경손상환자비내경감압술치료효과。방법회고성분석무경총의원이비인후두경외과2012－08지2014－04수치적28례（28지안）시신경손상환자적림상자료。소유환자균실시경비내경시신경감압술，관찰환자적림상치료효과，병대환자적술후시력진행분석평개。결과15례술후시력유소개선；24례술전무광감환자중，12례술후회복광감；3례술전시력하강환자술후시력균유불동정도회복。결론침대시신경손상환자행경비내경시신경감압술진행치료，병근거환자시신경손상적정도화류형급여침대성적수술치료，가방조개선환자시력，병차구유수술창상소、술후회복쾌、병발증소등우점，유교호적림상료효。
Objective To investigate the clinical therapeutic efficacy of endoscopic optic nerve decompression in optic nerve injury.Methods Clinical data of 28 patients (28 eyes) diagnosed as having optic nerve injury in Department of Otorhinolaryngology Head and Neck Surgery ,General Hospital of People ’ s Armed Police Forces from August 2013 to April 2014 were analyzed retrospec-tively.All the patients were treated by endonasal optic nerve decompression .The clinical therapeutic efficacy and the postoperative vis-ual acuity of these patients were obsereved and analyzed .Results Clinical symptoms improved in fifteen of the patients after the opera-tion.Of 24 patients who had no light perception ,12 cases (12 eyes) got better after operation.Three patients (3 eye) with poor vision before operation had improved vision after operation .Conclusions The endoscopic optic nerve decompression is effective in improving the visual acuity in optic nerve injury patients .