CAJ | 학술논문

目的探讨计算机辅助预成形钛网在眼眶复合性骨折整体修复中的安全性和有效性.方法复合性眼眶骨折患者15例15只眼,分成两组:A组:5例患者术中应用眶缘型HA复合材料修复眶缘,板状HA复合材料修复眶壁.B组:10例患者术中植入计算机辅助设计预成形钛网,同时修复眶壁及眶缘,行眼眶整体修复.术后2周、3个月、6个月复查,观察两组眼球突出度、眶容积、复视改善情况,评价计算机辅助设计制作钛网修复复合性眼眶骨折的治疗效果.结果术后眼球内陷矫正率:2周:A组60％,B组80％;3个月和6个月基本相同:A组40％,B组70％；术后眶容积扩大量明显缩小,A组平均缩小3.1 ml,B组缩小3.7 ml；复视矫正情况:2周治愈率:A组:20％,B组:50％,3个月:A组40％,B组:60％,6个月:A组40％,B组:70％.术后无视力下降,未发生植入材料移位、排异、感染等并发症.结论应用计算机辅助预成形钛网整体修复眼眶复合性骨折可以更加精确的修复眼眶,提高眼球内陷和复视的治愈率.
목적 탐토계산궤보조예성형태망재안광복합성골절정체수복중적안전성화유효성.방법 복합성안광골절환자15례15지안,분성량조:A조:5례환자술중응용광연형HA복합재료수복광연,판상HA복합재료수복광벽.B조:10례환자술중식입계산궤보조설계예성형태망,동시수복광벽급광연,행안광정체수복.술후2주、3개월、6개월복사,관찰량조안구돌출도、광용적、복시개선정황,평개계산궤보조설계제작태망수복복합성안광골절적치료효과.결과 술후안구내함교정솔:2주:A조60％,B조80％;3개월화6개월기본상동:A조40％,B조70％；술후광용적확대량명현축소,A조평균축소3.1 ml,B조축소3.7 ml；복시교정정황:2주치유솔:A조:20％,B조:50％,3개월:A조40％,B조:60％,6개월:A조40％,B조:70％.술후무시력하강,미발생식입재료이위、배이、감염등병발증.결론 응용계산궤보조예성형태망정체수복안광복합성골절가이경가정학적수복안광,제고안구내함화복시적치유솔.
Objective To explore the safety and efficacy of computer-assisted prefabricated titanium mesh for overall repairing orbital wall and rim in complex orbital fracture patients.Methods Fifteen patients were included in this study.All patients suffered from complex orbital fracture.Group A included 5 patients who were reconstructed for the complex fractured orbital wall and rim with Hydroxyapatite.Group B had 10 patients treated with computer-assisted fabricated titanium mesh.The efficacy of computer-assisted prefabricated titanium mesh for complex orbital fracture was evaluated by postoperative measurements of diplopic figures,exophthalmos and changes of orbital capacity obtained by CT on postoperative week 2 and monrth 3,and 6.Results The cure rate of Enophthalmos after operation:2 weeks:group A was 60％,group B was 80％,and the cure rate both the same in 3 months and 6 months after operation:groupA was 40％,group B was 70％.The enlargement volume of orbit in Postoperative was decreased.The mean value of group A was 3.1 ml.Group B was 3.7ml.The cure rate of diplopia:2 weeks cure rate:group A:20％,group B:50％,3 months:40％ of group A,group B:60％,6 months:40％ of group A,group B:70％.There was no vision loss,graft extrusion,rejection,infection and other complications in all patients after operation.Conclusions Computer-assisted prefabricated titanium mesh introduced into the overall plastic surgery of complex orbital fracture can provide more accurate orbital reconstruction and improve the correction of enophthalmia and diplopia.