对创伤性视神经病变的跨鼻内镜视通道减压的诊断和治疗
Xiang Tu1, Cheng Xiong2, Hui Qi1
1Department of Otolaryngology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Frontiers in neuroscience
|June 1, 2023
概括
透鼻内镜光学减压有效治疗创伤性视觉神经病变 (TON). 在7天内进行早期手术,以及先前存在的光感知,显著改善了TON患者的视觉结果.
科学领域:
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
背景情况:
- 创伤性视神经病变 (TON) 是一种严重影响视力的疾病.
- 对TON有效的治疗策略对于患者的康复至关重要.
研究的目的:
- 为了评估TON的跨鼻内镜光学解压的临床有效性.
- 确定影响TON患者治疗结果的预后因素.
主要方法:
- 对13名TON患者的回顾性分析,这些患者接受过鼻腔内镜光学解压治疗.
- 手术后使用荷尔蒙和神经营养药物.
- 视力敏度的改善是主要的疗效指标.
主要成果:
- 观察到的整体有效率为69.2%,13名患者中有9名的视力敏度有所改善.
- 与没有光感知 (50.0%) 相比,手术前光感知患者的成功率更高 (85.7%).
- 在受伤7天内进行手术的有效率为70%,略高于延迟手术 (66.7%).
结论:
- 透鼻内镜视神经减压是一种可行的和有效的治疗TON.
- 手术前的光感知和7天内手术时间是成功治疗TON的关键预后指标.
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