CAJ | 학술논문

目的比较颅脑创伤合并创伤性眶上裂综合征手术治疗与保守治疗的效果,探讨适应证及手术时机.方法对12例(男7例、女5例)14侧创伤性眶上裂综合征患者的临床资料进行比较,比较手术治疗与保守治疗的效果,形成创伤性眶上裂综合征的初步治疗方案.结果患者平均年龄28岁,平均随访6个月,所有患者均出现了以下症状中的一项或几项:眼球固定、眼睑下垂、眼球突出、角膜反射迟钝或消失、瞳孔散大,以及瞳孔对光反射迟钝或消失.其中1例患者合并眶尖综合征.CT三维重建显示:7例患者眶上裂区有骨折线、骨折片压迫或眶上裂出现变形.7例行手术治疗,其中6例有不同程度恢复.在行保守治疗的5例患者中,3例有不同程度恢复.结论颅脑创伤合并创伤性眶上裂综合征患者年龄普遍较轻,如不及时治疗,将严重影响患者的神经功能.经扩大颧弓入路行眶上裂减压术能改善患者症状,降低致残率,提高患者生存质量.
목적 비교로뇌창상합병창상성광상렬종합정수술치료여보수치료적효과,탐토괄응증급수술시궤.방법 대12례(남7례、녀5례)14측창상성광상렬종합정환자적림상자료진행비교,비교수술치료여보수치료적효과,형성창상성광상렬종합정적초보치료방안.결과 환자평균년령28세,평균수방6개월,소유환자균출현료이하증상중적일항혹궤항:안구고정、안검하수、안구돌출、각막반사지둔혹소실、동공산대,이급동공대광반사지둔혹소실.기중1례환자합병광첨종합정.CT삼유중건현시:7례환자광상렬구유골절선、골절편압박혹광상렬출현변형.7례행수술치료,기중6례유불동정도회복.재행보수치료적5례환자중,3례유불동정도회복.결론 로뇌창상합병창상성광상렬종합정환자년령보편교경,여불급시치료,장엄중영향환자적신경공능.경확대권궁입로행광상렬감압술능개선환자증상,강저치잔솔,제고환자생존질량.
Objective To compare curative effect of decompression and conservative treatment for traumatic superior orbital fissure syndrome to discuss the operation indications and the operative oppor-tunity for this syndrome. Methods Data of 12 patients (seven males and five females) with 14 sides were compared to evaluate different curative effect between decompression and conservative treatment so as to optimize the initial corresponding treatment. Results The patients were at mean age of 28 years and followed up for mean six months. All patients were complicated by one and more of following symptoms in-cluding ophthalmoplegia, ptosis, proptosis and anaesthesia in the distribution of V1 and a fixed dilated pupil. There was one patient complicated by orbital apex syndrome. CT showed involvement of the superi-or orbital fissure in seven patients. Of seven patients treated with decompression, six got recovery at dif-ferent degrees. Meanwhile, three out of five patients treated with conservative treatment recovered to some extent. Conclusions Early effective treatment can improve the functional rehabilitation of the injured nerve. Decompression of superior orbital fissure is proved to be effective in ameliorating symptome, re-ducing disability and improving quality of life.