CAJ | 학술논문

目的探讨眶周创伤的特点及其治疗方法.方法本组61例患者,其中眶颧骨折30例、额眶骨折6例、鼻筛眶骨折8例、眼眶爆裂骨折7例、眶周多发骨折10例.经详细体检及CT等辅助检查,明确眶周创伤的具体伤情,制定治疗方案.手术采用头皮冠状切口或眉尾小切口,结合睑缘下切口入路及利用局部伤口,充分显露眶周骨折区域;在直视下行骨折复位和内固定,并同期采用钛网及Medpor重建眶壁.结果手术均顺利完成,术后伤口均一期愈合,大多数患者眼眶部外观及功能恢复满意.4例患者二期行眼球摘除术;2例患者术后有不同程度复视,随时间推移逐渐好转;3例患者出现上睑下垂,有待进一步治疗.结论眶周创伤应早期明确诊断,制定有序的治疗计划,早期行眶缘复位固定和眶壁修补重建.
목적 탐토광주창상적특점급기치료방법.방법 본조61례환자,기중광권골절30례、액광골절6례、비사광골절8례、안광폭렬골절7례、광주다발골절10례.경상세체검급CT등보조검사,명학광주창상적구체상정,제정치료방안.수술채용두피관상절구혹미미소절구,결합검연하절구입로급이용국부상구,충분현로광주골절구역;재직시하행골절복위화내고정,병동기채용태망급Medpor중건광벽.결과 수술균순리완성,술후상구균일기유합,대다수환자안광부외관급공능회복만의.4례환자이기행안구적제술;2례환자술후유불동정도복시,수시간추이축점호전;3례환자출현상검하수,유대진일보치료.결론 광주창상응조기명학진단,제정유서적치료계화,조기행광연복위고정화광벽수보중건.
Objective To study the clinical characteristics and the treatment of periobited injuries.Methods 61 cases were treated,including 30 cases orbitozygomatic fracture,6 cases of fronted -orbital fracture,8 cases of naso-ethmoido-Orbital fracture,7 cases of blow -out fracture and 10 cases of complicated fracture.The paitents were diagnosed after physical examination and other examination,like CT.Throughbieoronal or local minicision at the end of eyebrown,combined with subcillary incision and local wound approach,the fractured sites were exposed completely.Then the fractured fragments were repositioned and fixed rigidly.The orbited wail was reconstructed with titanium net and Medpor.Results The wounds healed primarily.Good cosmetic and functional results achieved in moat of the patients.4 eases underwent second- stage ophthalmectomy.2 patients had diplopia after operation,but improved gradually.3 cases of blepharoptosis needed further treatment.Conclusions Early diagnosis and treatment is very important for periorbital injuries.Fracture reposition and orbital wail reconstruction should be pedormed at early period.