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儿童创伤性视神经病变:早期干预还是延迟干预?

Traumatic optic neuropathy in pediatric population: early intervention or delayed intervention?

作者信息

Gupta Ashok K, Gupta Anish K, Gupta Amod, Malhotra S K

机构信息

Department of Otolaryngology, Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Int J Pediatr Otorhinolaryngol. 2007 Apr;71(4):559-62. doi: 10.1016/j.ijporl.2006.11.018. Epub 2007 Feb 15.

Abstract

PURPOSE

The aim of this randomized prospective study was to evaluate role of early decompression in the cases of traumatic optic neuropathy in children.

MATERIALS AND METHODS

Thirty-one children with a diagnosis of traumatic optic neuropathy were operated upon by transnasal trans-sphenoidal optic nerve decompression and the results were evaluated.

RESULTS

Patients presenting early and those who were operated early in the course of their illness showed a better recovery.

CONCLUSION

Early intervention can help preventing the blindness in as many as 80 and of the cases following the injury.

摘要

目的

本随机前瞻性研究的目的是评估早期减压在儿童外伤性视神经病变病例中的作用。

材料与方法

对31例诊断为外伤性视神经病变的儿童进行经鼻经蝶窦视神经减压手术,并对结果进行评估。

结果

早期就诊且在病程早期接受手术的患者恢复情况较好。

结论

早期干预有助于防止多达80%的受伤后病例失明。

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