本文报告应用CT扫描诊断的130例视神经管骨折病人的治疗经验。男性122例,女性8例;年龄6～58岁,平均28.0岁。对130例患者鼻外经鼻窦行视神经管减压开放术,总有效率为64.62％。本文就该病的发生机制、手术适应证及手术方法进行讨论,认为术前有光感的患者,术后有效率高。对无光感患者,不盲目手术,经脱水及激素治疗观察后,选择性地进行手术,大大提高了手术的总有效率。视神经管减压开放术安全可靠。 This article reports the treatment of 130 patients with optic canal fracture diagnosed by CT scan. 122 males and 8 females; aged 6 to 58 years, mean 28.0 years. In 130 patients undergoing transnasal sinus sinus decompression and open surgery, the total effective rate was 64.62%. This article discusses the pathogenesis of the disease, surgical indications and surgical methods for discussion, that patients with a sense of light preoperative and postoperative effective. No light perception of patients, do not blind surgery, dehydration and hormone therapy observed, the selective operation, greatly improving the overall efficiency of the operation. Optic tube decompression open surgery safe and reliable.