Analysis of surgical effect of brain trauma combined with optic nerve injury
脑外伤合并视神经损伤的手术疗效分析

摘要

目的 分析手术治疗脑外伤合并视神经损伤的效果。方法 选取本院在2020年2月-2022年2月期间收治的脑外伤合并视神经损伤患者（n=60）为本次研究对象。采取随机数字表法分为参考组（n=30）及实验组（n=30），其中前者给予保守治疗，后者采取手术治疗。比较两组治疗效果。结果 实验组患者治疗后均获得程度不一视力恢复，其中显效占比为76.67%，显著恢复；有效占比23.33%，视力减退；无效占比0.00%，无失明的患者。参考组经治疗后，显效为43.33%，视力恢复良；有效占比26.67%，视力减退，无效占比30.00%，有2例失明。两组治疗有效率比较可见，实验组更高（P＜0.05）。结论 脑外伤合并视神经损伤患者采取手术治疗效果明显好于保守治疗，手术除伤后视力明显好转患者可改为保守治疗，对于存在视神经损伤，不管原发及继发，均需要采取较早的手术治疗。

Abstract

Objective: To analyze the effect of surgical treatment of brain trauma combined with optic nerve injury.
Methods: The patients with brain trauma combined with optic nerve injury (n=60) admitted in our hospital from February 2020to February 2022 were selected as the subjects of this study. Randomized numerical table method was used to divide the patients into reference group (n=30) and experimental group (n=30). The former was given conservative treatment, and the latter was given surgical treatment. The therapeutic effects of the two groups were compared.
Results: After treatment, the patients in the experimental group achieved different degrees of visual acuity recovery, of which 76.67% were significantly effective, with significant recovery; The effective rate was 23.33%, and vision was impaired; The invalid rate was 0.00%, and there were no blind patients. In the reference group, after treatment, 43.33% of the patients had good visual acuity; The effective rate was 26.67%, the visual acuity was decreased, and the ineffective rate was 30.00%. There were 2 cases of blindness. The effective rate of the two groups was higher in the experimental group (P<0.05).
Conclusion  : The effect of surgical treatment is obviously better than that of conservative treatment in patients with brain trauma combined with optic nerve injury. The patients with improved vision after surgery can be changed to conservative treatment. For patients with optic nerve injury, no matter the primary or secondary, early surgical treatment is required.