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
2013年
8期
589-591
,共3页
金宝泉%其其格%郭振山%胡础图%项凯%刘密密
金寶泉%其其格%郭振山%鬍礎圖%項凱%劉密密
금보천%기기격%곽진산%호출도%항개%류밀밀
骨折,眶壁,爆裂性%内陷,眼球%复视%手术
骨摺,眶壁,爆裂性%內陷,眼毬%複視%手術
골절,광벽,폭렬성%내함,안구%복시%수술
Fracture,orbital,blow-out%Enophthalmos%Diplopia%Sugery
目的 探讨爆裂性眶壁骨折整复治疗的临床疗效.方法 采用羟基磷灰石复合体材料或多孔聚乙烯(Medpor)整复爆裂性眶壁骨折恢复眼眶的解剖结构及组织功能.结果 本组24例病例中20例眼球突出度眼球运动功能恢复,复视得以完全矫正.4例残留部分复视眼球运动功能恢复欠佳.无一例感染,无羟基磷灰石及Medpor排斥或暴露等并发症.结论 爆裂性眶壁骨折,常引起眼眶内容物嵌顿、眼外肌的嵌顿,从而导致眼球内陷、眼球运动障碍及复视.手术恢复眼眶解剖形态及眶容积,是治疗爆裂性眶壁骨折所致畸形及功能障碍的有效方法.
目的 探討爆裂性眶壁骨摺整複治療的臨床療效.方法 採用羥基燐灰石複閤體材料或多孔聚乙烯(Medpor)整複爆裂性眶壁骨摺恢複眼眶的解剖結構及組織功能.結果 本組24例病例中20例眼毬突齣度眼毬運動功能恢複,複視得以完全矯正.4例殘留部分複視眼毬運動功能恢複欠佳.無一例感染,無羥基燐灰石及Medpor排斥或暴露等併髮癥.結論 爆裂性眶壁骨摺,常引起眼眶內容物嵌頓、眼外肌的嵌頓,從而導緻眼毬內陷、眼毬運動障礙及複視.手術恢複眼眶解剖形態及眶容積,是治療爆裂性眶壁骨摺所緻畸形及功能障礙的有效方法.
목적 탐토폭렬성광벽골절정복치료적림상료효.방법 채용간기린회석복합체재료혹다공취을희(Medpor)정복폭렬성광벽골절회복안광적해부결구급조직공능.결과 본조24례병례중20례안구돌출도안구운동공능회복,복시득이완전교정.4례잔류부분복시안구운동공능회복흠가.무일례감염,무간기린회석급Medpor배척혹폭로등병발증.결론 폭렬성광벽골절,상인기안광내용물감돈、안외기적감돈,종이도치안구내함、안구운동장애급복시.수술회복안광해부형태급광용적,시치료폭렬성광벽골절소치기형급공능장애적유효방법.
Objective To evaluate the effect of implantation surgery for orbital reconstruction.Methods Twenty-four cases with the orbital blow-out fracture treated by Hydroxyapatite complex or Medpor implantation surgery were reviewed and summarized,and their surgical effects were analyzed.Results The enophthalmos and diplopia completely disappeared in 20 cases,relieved in 4 cases.There were no infection or extrusion of Hydroxyapatite complex or Medpor implant.Conclusion Surgery is the majoy method of treating orbital blow-out fracture,the operative skill,timing and implant are key points for successful operation.
