摘要
目的探讨Onodi气房骨折所致视神经损伤的特点及手术和辅助用药的经验。方法 7例影像学检查判断Onodi气房骨折致视神经损伤患者,术前6例无光感,1例眼前手动,均为单眼外伤,伤后1至7天行鼻内镜下视神经减压术,术中发现骨折片碎裂成角压迫神经严重,术前后给予大剂量激素及神经营养剂治疗。结果随访3~9个月,6例患者视力无改善,1例患者视力有提高。结论 Onodi气房骨折较蝶窦骨折形成的骨折片碎裂成角压迫视神经损伤更为严重,术前视力更差,术后恢复也较差。
Objective To investigate the features of traumatic optic neutopathy caused by Onodi cell fracture,and review our experience in surgery and medicine prescription.Methods Seven patients confirmed with Onodi cell fracture traumatic optic neuropathy by CT examination were included in the study.Before surgery,6 patients had no light perception and one patient could count fingers.All had one-eyed traumatic injury.Surgery was conducted from day 1 to day 7.In surgery,it was observed that angled fracture chips oppressed optic nerve severely.Before and after surgery,patients were given neurotrophic drugs and large doses of glucocorticoid.Results A follow-up ranging from 3 to 9 months revealed that 6 patients had no improvement,and 1 patient had improvement in visual acuity.Conclusion Traumatic optic neuropathy caused by Onodi cell fracture is even worse than sphenoid sinus fracture,because the fracture chips of Onodi cell fracture have sharper angle,and bring more pressure to optic nerves.As a result,patients have worse vision and recovery after surgery.
出处
《实用临床医药杂志》
CAS
2012年第3期69-70,共2页
Journal of Clinical Medicine in Practice
