国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
11期
2085-2087
,共3页
李超%郑波涛%李斌%徐庆
李超%鄭波濤%李斌%徐慶
리초%정파도%리빈%서경
爆裂性眼眶骨折%手术时机%手术入路%Medpor
爆裂性眼眶骨摺%手術時機%手術入路%Medpor
폭렬성안광골절%수술시궤%수술입로%Medpor
orbital blowout fracture%operation time%surgical approach%Medpor
目的：探讨经结膜爆裂性眼眶骨折修补术的手术时机、治疗效果及并发症。
<br> 方法：回顾21例施行经结膜眼眶骨折修补术的眼眶爆裂性骨折患者,据伤后手术时间,分为早期组12例、晚期组9例,比较复视、眼球突出度、眶下神经感觉障碍情况,并记录并发症。
<br> 结果：复视恢复情况：总体治愈情况(16/21,76.2%)；早期治疗组治愈率(10/12,83.3%)与晚期治疗组治愈率(6/9,66.7%),两组间比较差异有统计学意义(P<0.05)；眼球突出度恢复情况：总体治愈情况(17/21,81 .0%)；早期组治愈率(10/12,83 .3%)与晚期组治愈率(7/9,77.8%),两组间比较差异无统计学差异(P>0.05)；眶下神经感觉障碍情况：总体治愈率(12/21,57.1%)；早期治疗组治愈率(7/12,58.3%)与晚期治疗组治愈率(5/9,55.6%),两组间差异无统计学意义(P>0.05)。
<br> 结论：经结膜切口入路修补眼眶爆裂性骨折是一种手术时间短、损伤小、无皮肤瘢痕、并发症少的方法,值得推广和应用,手术时机在伤后2 wk内保守治疗无效情况下为适。
目的：探討經結膜爆裂性眼眶骨摺脩補術的手術時機、治療效果及併髮癥。
<br> 方法：迴顧21例施行經結膜眼眶骨摺脩補術的眼眶爆裂性骨摺患者,據傷後手術時間,分為早期組12例、晚期組9例,比較複視、眼毬突齣度、眶下神經感覺障礙情況,併記錄併髮癥。
<br> 結果：複視恢複情況：總體治愈情況(16/21,76.2%)；早期治療組治愈率(10/12,83.3%)與晚期治療組治愈率(6/9,66.7%),兩組間比較差異有統計學意義(P<0.05)；眼毬突齣度恢複情況：總體治愈情況(17/21,81 .0%)；早期組治愈率(10/12,83 .3%)與晚期組治愈率(7/9,77.8%),兩組間比較差異無統計學差異(P>0.05)；眶下神經感覺障礙情況：總體治愈率(12/21,57.1%)；早期治療組治愈率(7/12,58.3%)與晚期治療組治愈率(5/9,55.6%),兩組間差異無統計學意義(P>0.05)。
<br> 結論：經結膜切口入路脩補眼眶爆裂性骨摺是一種手術時間短、損傷小、無皮膚瘢痕、併髮癥少的方法,值得推廣和應用,手術時機在傷後2 wk內保守治療無效情況下為適。
목적：탐토경결막폭렬성안광골절수보술적수술시궤、치료효과급병발증。
<br> 방법：회고21례시행경결막안광골절수보술적안광폭렬성골절환자,거상후수술시간,분위조기조12례、만기조9례,비교복시、안구돌출도、광하신경감각장애정황,병기록병발증。
<br> 결과：복시회복정황：총체치유정황(16/21,76.2%)；조기치료조치유솔(10/12,83.3%)여만기치료조치유솔(6/9,66.7%),량조간비교차이유통계학의의(P<0.05)；안구돌출도회복정황：총체치유정황(17/21,81 .0%)；조기조치유솔(10/12,83 .3%)여만기조치유솔(7/9,77.8%),량조간비교차이무통계학차이(P>0.05)；광하신경감각장애정황：총체치유솔(12/21,57.1%)；조기치료조치유솔(7/12,58.3%)여만기치료조치유솔(5/9,55.6%),량조간차이무통계학의의(P>0.05)。
<br> 결론：경결막절구입로수보안광폭렬성골절시일충수술시간단、손상소、무피부반흔、병발증소적방법,치득추엄화응용,수술시궤재상후2 wk내보수치료무효정황하위괄。
AIM: To investigate the operation time, effect and complication of transconjunctival approaches for orbital blowout fractures Medpor reconstruction.
<br> METHODS: Twenty-one patients with orbital blowout fractures were performed transconjunctival approaches for orbital blowout fractures Medpor reconstruction from 2010 to 2014. All the patients were divided into the early operation group ( 12 cases ) and the late operation group (9 cases) based on the treatment time and followed up for 3 ~ 12mo. The diplopia, exophthalmos, sensory disturbance degree of infraorbital nerve and complications, effectives of the operation were analyzed and compared.
<br> RESULTS: The cure rate of diplopia was 76. 2% (16/21), 83. 3% (10/12) in the early operation group and 66. 7% (6/9) in the late operation group with statistical difference ( P<0.05). The cure rate of enophthalmos was 81. 0% (17/21), 83.3% ( 10/12 ) and 77. 8% ( 7/9 ) in the early and later operation group, without statistical difference (P>0. 05). T the cure rate of sensory disturbance degree of infraorbital nerve was 57. 1% (12/21), 58. 3% (7/12) vs 55. 6% (5/9) (P>0. 05). No operation complications were observed.
<br> CONCLUSION: Medpor reconstruction with transconjunctival approaches is safe, simple and reliable for patients with orbital blowout fractures. Early operation treatment should be performed in two weeks when conservative treatment was not useful.
