在治疗严重的创伤性视神经病变时,通过垂体和上视道方法减压视神经
Chenlong Liao1, Shuo Li1, Huoniu Ouyang2
1Department of Neurosurgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, NO.639 Shanghai Zhizaoju Road, Huangpu District, Shanghai, China.
Neurosurgical review
|July 8, 2024
概括
视神经减压 (OND) 对严重的创伤性视神经病变 (TON) 有好处. 视通道骨折是视觉结果的关键预测因子.
科学领域:
- 神经外科 神经外科
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
背景情况:
- 严重的创伤性视神经病变 (TON) 在眼科和神经外科手术中构成了重大挑战.
- 及时干预对于可能恢复TON患者的视力至关重要.
研究的目的:
- 为了评估视神经减压 (OND) 治疗严重TON的疗效,使用体和上体方法.
- 确定影响OND后术后视力敏度 (VA) 的预后因素.
主要方法:
- 在2019年9月至2022年6月期间,对54名接受OND (胸腔或上眼道方法) 的严重TON患者进行了回顾性评估.
- 对人口统计数据,创伤细节和手术结果的分析,包括住院和随访时间.
- 两种手术方法之间的术后VA和并发症率的比较.
主要成果:
- 体和上轨道两种方法的改善率分别为57.1%和45.5%,没有显著差异 (p=0.40).
- 视通道骨折 (OCF) 显著影响了脑上组的术后VA (p=0.003),OCF患者取得了更好的结果 (78.6%).
- 病房住院和随访时间在pterional和supraorbital组之间是可比的.
结论:
- 通过体或上轨道方法进行的OND可以使重度创伤性TON患者受益.
- 视通道骨折是使用超视道方法在OND后视觉恢复的显著预后因素.
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