CAJ | 학술논문

目的评价预成形钛网在眶底、眶内壁联合骨折所致眼球内陷中的应用效果.方法回顾性选择自2012年2月至2013年2月在四川省人民医院眼科诊治的眶底、眶内壁联合骨折病例9例.对比术前及术后三维CT的曲面数据分析,评价眶壁重建的精确性和眼球突出度的恢复情况.结果所有病例均成功实现了眶壁重建,术后无严重并发症发生.对比眼眶患侧术前与术后的眼眶容积数据,经配对样本t检验,两者差异比较具有统计学意义(t =3.697,P=0.006),患侧眼眶容积术后比术前明显改善;对比术后两侧眼眶的容积数据,经独立性t检验,两者差异比较无统计学意义(t =2.224,P =0.826),显示术后双侧眼眶对称性良好;对比术前与术后患侧眼球凹陷数据,经配对样本t检验,两者差异比较具有统计学意义(t =6.167,P＜0.001),术后眼球凹陷改善明显.容积平均差值为0.67 mm3,平均差异率为3.24％ (6.05/186.79);双眼突度测量差值＜1 mm者7例,突度差值＜3 mm者1例,1例眼球破裂未计算突度.结论应用预成形钛网修复眼眶骨折安全、有效,简化了手术操作,钛网重建骨壁位置精准、稳定,眼眶容积、眼球突出度恢复良好.
목적 평개예성형태망재광저、광내벽연합골절소치안구내함중적응용효과.방법 회고성선택자2012년2월지2013년2월재사천성인민의원안과진치적광저、광내벽연합골절병례9례.대비술전급술후삼유CT적곡면수거분석,평개광벽중건적정학성화안구돌출도적회복정황.결과 소유병례균성공실현료광벽중건,술후무엄중병발증발생.대비안광환측술전여술후적안광용적수거,경배대양본t검험,량자차이비교구유통계학의의(t =3.697,P=0.006),환측안광용적술후비술전명현개선;대비술후량측안광적용적수거,경독립성t검험,량자차이비교무통계학의의(t =2.224,P =0.826),현시술후쌍측안광대칭성량호;대비술전여술후환측안구요함수거,경배대양본t검험,량자차이비교구유통계학의의(t =6.167,P＜0.001),술후안구요함개선명현.용적평균차치위0.67 mm3,평균차이솔위3.24％ (6.05/186.79);쌍안돌도측량차치＜1 mm자7례,돌도차치＜3 mm자1례,1례안구파렬미계산돌도.결론 응용예성형태망수복안광골절안전、유효,간화료수술조작,태망중건골벽위치정준、은정,안광용적、안구돌출도회복량호.
Objective To evaluate the character of the prefabricated titanium mesh which reconstructed the orbital floor and the medial-wall fracture.Methods Nine patients with unilatera orbital fracture of the floor and medial-wall were included,subsequently reconstructed with titanium mesh,and subjected to adequate follow-up with multislice,digitalized computed tomography (CT) images.Medical records were reviewed and the orbital volume and enophthalmos were observed to evaluate the efficacy of the operations.Results In all patients,the volume data of the reconstructed orbit fitted that of the contralateral uninjured orbit by prefabricated titanium mesh.The enophthalmos were corrected and without complications.Conclusions This preliminary study has demonstrated that posttraumatic orbital wall reconstruction using prefabricated titanium mesh results in a high success rate in the re-establishing preoperative bony volume,which closely approximates that of the contralateral uninjured orbit.