中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2013年
5期
309-312
,共4页
眶-颧-上颌骨复合体骨折%眼球摘除术%眼球萎缩,联合手术
眶-顴-上頜骨複閤體骨摺%眼毬摘除術%眼毬萎縮,聯閤手術
광-권-상합골복합체골절%안구적제술%안구위축,연합수술
Fracture of orbital maxillary zygomatic%Ophthalmectomy%Eyeball atrophy,combined surgery
目的 探讨眶-颧-上颌骨骨折伴严重眼球破裂伤后眼球萎缩的联合手术治疗方法,评价手术治疗效果.方法 回顾性系列病例研究.分析天津医科大学总医院2009年9月至2011年11月收治的12例眶-颧-上颌骨骨折伴眼球破裂伤眼球萎缩患者的临床资料,随访联合手术后面部外形、义眼片突出度、义眼片活动度、张口受限程度以及咬合关系等情况,观察手术效果.结果 随访观察3～12个月,平均(6.8±2.6)个月,所有患者面容对称,抬眉、闭眼、口角运动正常,未发生感染和植入物排出现象.10例患者安装义眼片后外观满意,睑裂对称,无上睑凹陷,眼窝形成好.术前张口受限6例患者术后完全缓解,咬合关系正常.术前7例患者面部及上唇有麻木感,其中6例患者术后6个月内消退.结论 通过联合手术可-次性解决眶-颧-上颌骨复合体骨折、严重眼球破裂伤眼球萎缩患者的外观、张口受限等问题,临床治疗效果较好.
目的 探討眶-顴-上頜骨骨摺伴嚴重眼毬破裂傷後眼毬萎縮的聯閤手術治療方法,評價手術治療效果.方法 迴顧性繫列病例研究.分析天津醫科大學總醫院2009年9月至2011年11月收治的12例眶-顴-上頜骨骨摺伴眼毬破裂傷眼毬萎縮患者的臨床資料,隨訪聯閤手術後麵部外形、義眼片突齣度、義眼片活動度、張口受限程度以及咬閤關繫等情況,觀察手術效果.結果 隨訪觀察3～12箇月,平均(6.8±2.6)箇月,所有患者麵容對稱,抬眉、閉眼、口角運動正常,未髮生感染和植入物排齣現象.10例患者安裝義眼片後外觀滿意,瞼裂對稱,無上瞼凹陷,眼窩形成好.術前張口受限6例患者術後完全緩解,咬閤關繫正常.術前7例患者麵部及上脣有痳木感,其中6例患者術後6箇月內消退.結論 通過聯閤手術可-次性解決眶-顴-上頜骨複閤體骨摺、嚴重眼毬破裂傷眼毬萎縮患者的外觀、張口受限等問題,臨床治療效果較好.
목적 탐토광-권-상합골골절반엄중안구파렬상후안구위축적연합수술치료방법,평개수술치료효과.방법 회고성계렬병례연구.분석천진의과대학총의원2009년9월지2011년11월수치적12례광-권-상합골골절반안구파렬상안구위축환자적림상자료,수방연합수술후면부외형、의안편돌출도、의안편활동도、장구수한정도이급교합관계등정황,관찰수술효과.결과 수방관찰3～12개월,평균(6.8±2.6)개월,소유환자면용대칭,태미、폐안、구각운동정상,미발생감염화식입물배출현상.10례환자안장의안편후외관만의,검렬대칭,무상검요함,안와형성호.술전장구수한6례환자술후완전완해,교합관계정상.술전7례환자면부급상진유마목감,기중6례환자술후6개월내소퇴.결론 통과연합수술가-차성해결광-권-상합골복합체골절、엄중안구파렬상안구위축환자적외관、장구수한등문제,림상치료효과교호.
Objective To explore the combined surgical method for treatment of fracture of the orbital maxillary zygomatic and eyeball atrophy,and evaluate its effect.Methods A retrospective clinical study was performed on 12 patients with fracture of the orbital maxillary zygomatic and eyeball atrophy who were treated at Tianjin Medical University General Hospital between September 2009 and November 2011.Surgical effects were followed up such as facial appearance,exophthalmos and activity of the ocular prosthesis,mouth opening and jaw relationship.Results Patients were followed up for 6.8±2.6 months with a range of 3-12 months.All patients had facial symmetry and did not develop secondary inffection or rejection.Ten patients wearing an ocular prosthesis had good appearance,six patients with limited mouth opening preoperativcly recovered movement and the jaw relationship returned to normal postoperatively.Six patients with facial and upper lid numbness preoperatively regained feeling in 6 months postoperatively.Conclusion The combined surgery is a valuable treatment option for fracture of the orbital maxillary zygomatic and eyeball atrophy.A single surgery can eliminate the limitation of mouth opening and improve facial appearance,which results in a good surgical outcome.
