目的:分析非手术综合治疗方法对外伤性视神经病变的疗效。方法:外伤性视神经病变患者22例23眼,应用大剂量甲基强的松龙冲击治疗,同时使用高渗剂、血管扩张剂、维生素类、神经营养药以及高压氧等方法治疗,对疗效进行总结分析。结果:治疗前无光感7眼(30.43%),治疗后减少至6眼(26.09%);治疗前光感5眼(21.74%)治疗后降至4眼(17.39%);治疗前0.02～0.1者7眼(30.43%),治疗后仍为7眼(30.43%);治疗前0.1～0.3者3眼(13.04%),治疗后增至4眼(17.39%)。治疗前>0.3者1眼(4.35%),治疗后增至2眼(8.70%)。治疗有效者11眼,总有效率为47.83%,无效12眼,占52.17%。结论:非手术治疗外伤性视神经病变能取得一定的疗效,但总体效果欠佳。

AIM:To analyse the therapeutic efficacy of traumatic optic neuropathy managed by non-surgical treatment.METHODS:Twenty-two cases(23 eyes) of traumatic optic neuropathy were treated with methylprednisolone combined with hypertonic dehydrant,vascular dilator,nutramines,neural nutrient,high-pressure oxygen and so on,and analysis of its effect were made.RESULTS:Before treatment,no light perception was in 7 eyes(30.43%),which reduced to 6 eyes after treatment(26.09%);Before treatment,light perception was in 5 eyes(21.74%),which decreased to 4 eyes(17.39%) after treatment;Before treatment,7 eyes(30.43%)whose visual acuity were 0.02-0.1,after treatment was still 7 eyes(30.43%);3 eyes(13.04%) whose visual acuity were 0.1-0.3,which increased to 4 eyes(17.39%) after treatment;Visual acuity was greater than 0.3 before treatment in 1 eye(4.35%),which increased to 2 eyes(8.70%) after treatment.Effective treatment was in 11 eyes,the total effective rate was 47.83%,12 eyes after treatment was ineffective,accounting for 52.17%.CONCLUSION:Traumatic optic neuropathy leads to severe destruction of visual function.The prognosis of visual function is poor.Non-surgical treatment of traumatic optic neuropathy can achieve a certain effect,but the overall effect was poor.

R779.1