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[创伤后视神经病变管理指南]

[Guidelines for the management of posttraumatic optic nerve neuropathy].

作者信息

Zapała Jan

机构信息

Z Katedry i Kliniki Chirurgii Szczekowo-Twarzowej Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.

出版信息

Klin Oczna. 2005;107(4-6):263-5.

PMID:16118933
Abstract

UNLABELLED

The aim of the paper was to establish new clinical guidelines for patients suffering from posttraumatic optic nerve neuropathy management.

MATERIAL AND METHODS

The study covered a group of 100 patients with unilateral posttraumatic optic nerve neuropathy. 76 patients were diagnosed with blindness and 24 with progressive weakening of visual acuity from the time of injury. 56 patients received conservative treatment only, among them 48 underwent steroid therapy. In 23 patients a decompression of the optic nerve in its canal and in 21 in the intraorbital section was performed. Improvement in vision was obtained in 44 patients, 52 did not improve, and in 4 cases their vision deteriorated.

CONCLUSIONS

  1. Posttraumatic optic nerve neuropathy is an indication for immediate steroid therapy. 2. Progressive vision loss in the optic nerve canal fracture is an indication for its decompression.
摘要

未标注

本文的目的是为创伤后视神经病变的治疗建立新的临床指南。

材料与方法

该研究涵盖了100名单侧创伤后视神经病变患者。76例患者被诊断为失明,24例自受伤时起视力逐渐减退。56例患者仅接受了保守治疗,其中48例接受了类固醇治疗。23例患者对视神经管进行了减压,21例对眶内段进行了减压。44例患者视力得到改善,52例未改善,4例视力恶化。

结论

  1. 创伤后视神经病变是立即进行类固醇治疗的指征。2. 视神经管骨折导致的进行性视力丧失是进行减压的指征。

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