视神经管外伤患者受伤侧眼球多正常,同时多伴有颅脑损伤,临床医生易忽视本病。由于视神经管段骨折、血肿的压迫以及该段神经的缺血水肿,又被坚硬骨管勒束,造成视力锐减或失明。唯一有效的办法是解除对神经的压迫,改善视功能。我科从1982年采取经鼻窦入路减压治疗视神经管外伤,曾报告3例,到1988年共治疗35例,收到较好疗效,现予以报导, Patients with optic canal trauma injured side of the eye more than normal, accompanied by more traumatic brain injury, clinicians tend to ignore the disease. Due to fractures of the optic canal, hematoma oppression and the ischemic edema of the nerve, but also by the rigid bony canal strangulation, resulting in sharp reduction or blindness sight. The only effective way is to lift the oppression of nerves and improve visual function. Our department from 1982 to transurethral approach decompression treatment of optic canal trauma, had reported 3 cases, to a total of 35 cases in 1988, received a good effect, it is reported,