【摘要】 目的：探讨电按摩联合球后注射血管扩张剂治疗视神经萎缩的疗效及其并发症的原因、结果及防治原则。方法：对行电按摩治疗的132例(243眼)视神经萎缩患者的疗效及并发症的病例资料进行回顾性总结分析。结果：132例243眼总有效率为84.8%(206眼)，其中视神经炎性视神经萎缩的有效率为93.7%。8种并发症除1例眼痛3mo完全恢复外，其它均在4h~10d内恢复。结论：电按摩治疗视神经萎缩疗效显著，并发症可防可治。
【关键词】 视神经萎缩；电按摩
Lian-Xi Jing, Yu-Heng Shi, Jian-Ling Feng, Xiao-Hong Wang
Department of Ophthalmology, No. 458 Hospital of Chinese PLA, Guangzhou 510602, Guangdong Province, China
AbstractAIM: To evaluate the curative effects of electro-massage combined with retrobulbar vasodilator injection for treating optic atrophy and to discuss the causes, consequences of complications as well as the prevention and cure principles.
METHODS: Data were retrospectively analyzed on the effect and complications of electro-massage ombined with retrobulbar vasodilator injection for optic atrophy in 132 cases (243 eyes).ESULTS: Of the 132 cases (243 eyes), 206 eyes (84.8%) experienced positive effects as a result of the therapy, among which the effective rate of optic atrophy caused by optic neuritis was 93.7%. Seven out of eight kinds of complications showed recovery to certain degree between 4 hours and 10 days after treatment, except the full recovery within 3 months in one eye.CONCLUSION: The electro-massage combined with retrobulbar vasodilator injection for optic atrophy is eefective for treating optic atrophy, and the complications are preventable and curable.
· KEYWRODS: optic atrophy; electro-massage
0引言
视神经萎缩不是一种独立的疾病，而是由多种不同原因引起的视神经节细胞轴索退行性变，进而导致视功能障碍的致盲性眼病。该病病因极其复杂，临床治疗极为棘手。自2004-06以来，我们采用电按摩的方法，治疗132例(243眼)，取得了显著的效果。现报告如下。
1对象和方法
1.1对象 132例均为我院自2004-06/2006-09收治的因视神经炎后、外伤、颅内肿瘤术后、青光眼术后、视网膜色素变性、不明原因等引起的视神经萎缩病例。其中男87例，女45例。年龄4～78岁，112例为双眼。病程最长者40a（视网膜色素变性），最短1wk；术前情况：在243只患眼中，按病因分组，视神经炎性视神经萎缩132眼，眼部或颅脑外伤所致者37眼，颅内肿瘤术后及鼻咽癌放疗所致者19眼，青光眼所致者11眼，视网膜色素变性20眼，缺血性视神经病变所致4眼，葡萄膜炎所致者1例2眼，中毒性者3例6眼，甲亢型Graves病者1例2眼，不明原因者10眼。入院前治疗情况：所有病例入院前均在外院接受过各种治疗。治疗时间长短不等。效果均不明显。术前视力及视野：无光感者14眼，光感～0.05共97眼， 0.05～0.3共92眼，0.3～0.6共22眼，0.6以上共18眼；视野情况(可接受视野检查的病例)：管状视野，象限性及岛状缺损、向心性缩小等改变。所有病例的视野光敏度均有不同程度下降。
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