中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2010年
3期
166-168
,共3页
结膜%扩大眶腔%突眼
結膜%擴大眶腔%突眼
결막%확대광강%돌안
Conjunctiva%Enlargement of orbital volume%Minor exophthalmos
目的 探索经结膜入路扩大眶腔治疗眼球轻度突出的手术方法,以改善患者外观.方法 采取眼球内侧结膜入路,沿眶内侧壁骨面向深部眶尖处剥离眶内侧壁的筛骨板,深可达2.5～3.0 cm,上下分离骨面宽约2.0～2.5 cm,使筛骨板骨折压缩筛窦扩大眶腔.2006年6月至2008年4月手术3例.结果 3例患者手术均获成功,术后半年随访双侧眼球活动均正常,无复视和视力减退,面部无皮肤瘢痕.结论 眼球内侧结膜入路剥离筛骨板扩大眶腔是治疗眼球轻度突出的有效方法.
目的 探索經結膜入路擴大眶腔治療眼毬輕度突齣的手術方法,以改善患者外觀.方法 採取眼毬內側結膜入路,沿眶內側壁骨麵嚮深部眶尖處剝離眶內側壁的篩骨闆,深可達2.5～3.0 cm,上下分離骨麵寬約2.0～2.5 cm,使篩骨闆骨摺壓縮篩竇擴大眶腔.2006年6月至2008年4月手術3例.結果 3例患者手術均穫成功,術後半年隨訪雙側眼毬活動均正常,無複視和視力減退,麵部無皮膚瘢痕.結論 眼毬內側結膜入路剝離篩骨闆擴大眶腔是治療眼毬輕度突齣的有效方法.
목적 탐색경결막입로확대광강치료안구경도돌출적수술방법,이개선환자외관.방법 채취안구내측결막입로,연광내측벽골면향심부광첨처박리광내측벽적사골판,심가체2.5～3.0 cm,상하분리골면관약2.0～2.5 cm,사사골판골절압축사두확대광강.2006년6월지2008년4월수술3례.결과 3례환자수술균획성공,술후반년수방쌍측안구활동균정상,무복시화시력감퇴,면부무피부반흔.결론 안구내측결막입로박리사골판확대광강시치료안구경도돌출적유효방법.
Objective To investigate the treatment of minor exophthalmos by enlargement of orbital volume through conjunctive approach.Methods Through the conjunctive approach medial to the eye ball,the dissection was performed subperiosteumly to expose the ethmoid bone at the medial orbital wall.The exposure bone Was 2.5-3.0 cm in length and 2.0-2.5 cm in width.Then the ethoid bone was fractured to enlarge the orbital volume.From June 2006 to April 2008,3 cases were treated.Results The patients recovered in a short time with no visible skin scar.The technique Was mini-invasive,and didn't affect the function of eyeball.Conclusion It is easy and effective way to correct the minor exophthalmos by enlargement of orbital volume through conjunctive approach.
