CAJ | 학술논문

目的：探讨眼眶骨折整复联合Medpor填充术治疗爆裂性眼眶骨折的手术方法及临床疗效。方法：选择有手术指征的6例爆裂性眼眶骨折患者,进行眼眶骨折整复联合Medpor填充术,判断疗效,观察术后并发症。结果：随访3～24月,6例患者术后矫正视力提高。复视：2例治愈,2例好转。眼球内陷：4例患者均达治愈标准。眼球运动障碍：1例为治愈,3例改善。CT检查：高密度聚乙烯无移位、脱出,覆盖骨折孔满意。结论：成人局部麻醉下可以完成手术,眼眶骨折整复联合Medpor填充术是治疗爆裂性眼眶骨折的有效方法,高密度聚乙烯是理想的眶内植入材料。
목적：탐토안광골절정복연합Medpor전충술치료폭렬성안광골절적수술방법급림상료효。방법：선택유수술지정적6례폭렬성안광골절환자,진행안광골절정복연합Medpor전충술,판단료효,관찰술후병발증。결과：수방3～24월,6례환자술후교정시력제고。복시：2례치유,2례호전。안구내함：4례환자균체치유표준。안구운동장애：1례위치유,3례개선。CT검사：고밀도취을희무이위、탈출,복개골절공만의。결론：성인국부마취하가이완성수술,안광골절정복연합Medpor전충술시치료폭렬성안광골절적유효방법,고밀도취을희시이상적광내식입재료。
Objective： To investigate the clinical effect and surgical method of high density porous polyethylene （Medpor） implantation in repair of orbital blowout fracture. Methods： Six cases of orbital blowout fracture with operative indications underwent repair operation by Medpor implantation, then the curative effect and postoperative complication were evaluated. Results： In the 3-24 months of follow-up, the eyesight of all cases was improved after surgical vision correction. Diplopia disappeared in 2 cases, improved in 2 cases; 4 cases of patients have reached a cure standard on enophthalmos. Eyeball movement disorder symptom in I case cured, improved in 3 cases; with CT examination, no shift and prolapse of Medpor were observed, and Medpor successfully covered fracture hole. Conclusion： The operation could be completed under local anaesthetic in adults, Medpor is the ideal material and Medpor implantation is an effective way to cured blowout orbital fracture.