中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
12期
885-887
,共3页
姜倩钰%郭涛%沙英虹%韩雪梅%史要武
薑倩鈺%郭濤%沙英虹%韓雪梅%史要武
강천옥%곽도%사영홍%한설매%사요무
眼眶骨折%手术治疗%植入物%钛网%多孔聚乙烯
眼眶骨摺%手術治療%植入物%鈦網%多孔聚乙烯
안광골절%수술치료%식입물%태망%다공취을희
Orbital fractures%Surgical reconstruction%Orbital implants%Titanium mesh%Medpor
目的 探讨应用钛网联合多孔高密度聚乙烯板(Medpor)植入治疗内壁合并下壁眼眶骨折的疗效.方法 回顾性分析12例(12眼)内壁合并下壁眼眶骨折行钛网联合Medpor植入的手术效果,术前眼球内陷≥3 mm者10例,内陷2～3 mm者2例,复视5例,眼球明显下移2例,术中均经下睑缘下皮肤切口,下壁骨折区行钛网植入,内壁骨折区及眼球内陷重的行Medpor植入矫正.结果 术后随访3～6个月,眼球内陷均矫正至2 mm以内,复视完全消失4例,明显改善1例,2例眼球下移均消失,视力无明显变化.术后无感染、植入物脱出或排斥、移位等并发症.结论 应用钛网联合Medpor植入治疗内壁合并下壁眼眶骨折安全有效,同时采用了两种植入物的优势.
目的 探討應用鈦網聯閤多孔高密度聚乙烯闆(Medpor)植入治療內壁閤併下壁眼眶骨摺的療效.方法 迴顧性分析12例(12眼)內壁閤併下壁眼眶骨摺行鈦網聯閤Medpor植入的手術效果,術前眼毬內陷≥3 mm者10例,內陷2～3 mm者2例,複視5例,眼毬明顯下移2例,術中均經下瞼緣下皮膚切口,下壁骨摺區行鈦網植入,內壁骨摺區及眼毬內陷重的行Medpor植入矯正.結果 術後隨訪3～6箇月,眼毬內陷均矯正至2 mm以內,複視完全消失4例,明顯改善1例,2例眼毬下移均消失,視力無明顯變化.術後無感染、植入物脫齣或排斥、移位等併髮癥.結論 應用鈦網聯閤Medpor植入治療內壁閤併下壁眼眶骨摺安全有效,同時採用瞭兩種植入物的優勢.
목적 탐토응용태망연합다공고밀도취을희판(Medpor)식입치료내벽합병하벽안광골절적료효.방법 회고성분석12례(12안)내벽합병하벽안광골절행태망연합Medpor식입적수술효과,술전안구내함≥3 mm자10례,내함2～3 mm자2례,복시5례,안구명현하이2례,술중균경하검연하피부절구,하벽골절구행태망식입,내벽골절구급안구내함중적행Medpor식입교정.결과 술후수방3～6개월,안구내함균교정지2 mm이내,복시완전소실4례,명현개선1례,2례안구하이균소실,시력무명현변화.술후무감염、식입물탈출혹배척、이위등병발증.결론 응용태망연합Medpor식입치료내벽합병하벽안광골절안전유효,동시채용료량충식입물적우세.
Objective To evaluate the effect of titanium mesh combined with porous polyethylene (Medpor) implantation in orbital reconstruction for medial and inferior orbital wall fractures.Methods The surgical effect of 12 cases(12 eyes) of medial and inferior orbital wall fracture patients who received titanium mesh combined with Medpor implantation for orbital wall reconstruction were analyzed retrospectively.Preoperatively,there were 10 cases with enophthalmos equal to or more than 3 mm,2 cases with enophthalmos between 2 to 3 mm,5 cases with diplopia,2 cases with apparent vertical globe dystopia.For all the cases,an inferior subciliary approach was performed,a titanium mesh plate was used for the inferior orbital wall reconstruction and Medpor was used for the medial orbital wall reconstruction or in cases with apparent enophthalmos.Results Postoperatively,after a followed up period of 3-6 monthes,the enophthalmos of all the cases was successfully corrected to less than 2mm,the preoperative diplopia disappeared in 4 cases,resolved apparently in 1 case,the vertical globe dystopia of 2 cases disappeared,and no visual acuity impairment was observed.No complication of infection,extrusion,rejection or migration of the implants occurred.Conclusion Titanium mesh combined with Medpor implantation in orbital reconstruction for medial and inferior orbital wall fractures is safe and effective,which takes the merits of both implants.
