头面部创伤所致的视神经挫伤临床上以视神经管段损伤最为多见，本文对９例外伤性视神经挫伤病人进行鼻外筛－蝶窦进路视神经管减压术治疗，其中３例视力有所恢复，６例无效。作者认为对伤后视力下降者应作急症手术处理，以鼻外筛－蝶窦进路为最好，减压必须充分。 The optic nerve contusion caused by head and facial trauma is most commonly seen in the optic nerve canal injury. In this paper, 9 patients with traumatic optic nerve contusion were treated by nasal external sieve-transsphenoidal approach for decompression of optic canal, and 3 of them recovered , 6 cases invalid. The authors believe that after the reduction of visual acuity should be emergency surgery, nasal sieve - sphenoid sinus approach is best, decompression must be sufficient.