| 视神经管减压术治疗外伤性视神经损伤的手术时机--国内文献分析 |
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| 引用本文： | 吕红彬,罗清礼,张勤修,邹剑. 视神经管减压术治疗外伤性视神经损伤的手术时机--国内文献分析[J]. 国际眼科杂志, 2006, 6(1): 138-140 |
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| 作者姓名： | 吕红彬 罗清礼 张勤修 邹剑 |
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| 作者单位： | 1. 610041,中国四川省成都市,四川大学华西医院眼科
2. 610041,中国四川省成都市,四川大学华西医院耳鼻咽喉科 |
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| 基金项目： | 中国四川省自然科学基金(No.05JY029-011)，中国四川省卫生厅科研计划(No.040126) |
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| 摘 要： | 目的:总结不同手术时机对视神经管减压术疗效的影响。方法:回顾性分析国内关于视神经管减压术治疗外伤性视神经损伤的文章14篇,共155例159眼选择不同时机行视神经管减压术病例的术后疗效。结果:155例159眼中外伤后3d以内手术组58眼有效,手术有效率87.9%;3～7d手术组38眼有效,手术有效率82.6%;大于7d手术组14眼有效,手术有效率29.8%,与前两组之间相比有统计学意义(P<0.01)。结论:外伤性视神经损伤越早行视神经管减压术效果越好。应尽可能在外伤后7d以内手术。
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| 关 键 词： | 视神经 减压 手术时机 |
| 收稿时间： | 2005-12-03 |
| 修稿时间： | 2006-01-25 |
Operative time selection of optic canal decompression--review of the domestic literatures |
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| Hong-Bin Lü,Qing-Li Luo,Qin-Xiu Zhang,Jian Zou. Operative time selection of optic canal decompression--review of the domestic literatures[J]. International Eye Science, 2006, 6(1): 138-140 |
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| Authors: | Hong-Bin Lü Qing-Li Luo Qin-Xiu Zhang Jian Zou |
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| Affiliation: | 1Department of Ophthalmology; 2Department of Otolaryngology, Western China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China |
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| Abstract: | AIM: To summarize the effect of different operative time selections of optic canal decompression. METHODS: By thoroughly reviewing 14 Chinese literatures, the optic canal decompression clinical data of 155 cases (159 eyes) with optic nerve trauma were collected and analyzed retrospectively. RESULTS: Among 155 cases (159 eyes), 58 eyes underwent operation in 3d since injures were improved with the utility ratio of 87.9%; 38 eyes in 3 to 7d with utility ratio of 82.6%; and 14 eyes after 7d with utility ratio of 29.8%. There was significant difference between the last group and the other two groups. CONCLUSION: Traumatic optic neuropathy should undergo optic canal decompression as early as possible. |
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| Keywords: | optic nerve decompression operative time |
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