在内镜视神经减压后的创伤性和外伤性视神经病变患者的手术结果
R Muthukumar1, R Mahesh Kumari1, S Shenbagavalli2
1Upgraded Institute of Otorhinolaryngology, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu 600003 India.
概括
视神经内镜解压能有效地恢复视觉神经病变患者的视力. 这种微创手术的成功率很高,可以保护视力并减少并发症.
科学领域:
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 视神经病变可以导致显著的视力丧失.
- 内镜视神经减压提供了一个微创手术选择.
- 这种技术旨在减轻视神经上的压力.
研究的目的:
- 为了评估内镜视神经减压的外科结果.
- 为了评估创伤性和非创伤性视神经病变的有效性.
- 用LOG MAR尺度来测量视力敏度的改善.
主要方法:
- 病人的病历的回顾性审查从一个ENT部门.
- 包括因创伤性和非创伤性视神经病变而导致视力缺陷的患者.
- 通过视敏度的变化来衡量手术结果.
主要成果:
- 研究了14名患者,57%是女性,平均年龄为33岁.
- 11名患者 (78.5%) 手术后视力敏度有所改善.
- 即使在没有光感知的情况下,也注意到了显著的改善.
结论:
- 视神经内镜解压对于视神经病变是有效的.
- 通过鼻腔的方法可以安全地进入视通道.
- 最少入侵性质导致快速恢复和较少的发病率.
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