Zhang Hua, Song Xicheng, Zhang Qingquan, Sun Yan, Wang Qiang
Department of Otolaryngology-Head and Neck Surgery,Yantai Yuhuangding Hospital,Yantai, 264000, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Sep;25(17):777-9.
To investigate the advantages of image guidance system in endoscopic optic nerve decompression of traumatic occlusion optic neuropathy affiliated with cerebrospinal rhinorrhea.
Retrospective review of 15 traumatic occlusion optic neuropathy affiliated with cerebrospinal rhinorrhea at our department between June 2006 and June 2010. Witch were performed endoscopic optic nerve decompression and cerebrospinal rhinorrhea euplastic by image guidance system.
After 3 months to 1 year follow-up, All the cases with cerebrospinal rhinorrhea euplastic were successful. Two cases recovered to 0.3-0.6 in visual activity. Two cases to 0.1-0.3. One case was less than 0.1. Two cases could see hand movement and 2 cases had light perception. Total effective rate was 60 percent (9/15).
Image guidance system combined with endoscopy provides accurate localization and identifies the operative borders and critical anatomical structure of skull base, optic nerve and internal carotid artery,and also clearly indicate their adjacent relations,also decreases surgical invasions and complications. Image guidance system can improve the accuracy and safety, particularly in local anatomic structure due to the trauma caused by changes in the relationship. It is a safety and effective therapy method.
探讨影像引导系统在伴有脑脊液鼻漏的外伤性视神经管阻塞性视神经病变内镜下视神经减压术中的优势。
回顾性分析2006年6月至2010年6月在我科收治的15例伴有脑脊液鼻漏的外伤性视神经管阻塞性视神经病变患者，均采用影像引导系统行内镜下视神经减压及脑脊液鼻漏修补术。
经过3个月至1年的随访，所有脑脊液鼻漏修补均成功。视力恢复情况：2例恢复至0.3 - 0.6，2例恢复至0.1 - 0.3，1例低于0.1，2例能看到手动，2例有光感。总有效率为60%（9/15）。
影像引导系统联合内镜可提供精确的定位，明确颅底、视神经及颈内动脉的手术边界和关键解剖结构，清晰显示它们的毗邻关系，减少手术创伤及并发症。影像引导系统能提高手术的准确性和安全性，尤其适用于因外伤导致局部解剖结构关系改变的情况。是一种安全有效的治疗方法。
