CAJ | 학술논문

目的评价复合性眼眶骨折联合手术治疗的临床疗效.方法回顾总结2005年6月至2012年12月72例复合性眼眶骨折病例,包括颅-眶骨折10例、鼻-眶-筛骨折12例、眶-颧骨折38例、多发性骨折12例,均采用联合手术骨折复位内固定、眼眶整复重建手术.通过眼眶CT判断骨折的复位情况,评价颜面部畸形、眼球内陷改善程度,评估眼球运动、复视和视力等.结果术后随访6～84个月,平均(12.03±2.31)月.眼眶CT示:骨折对位良好,钛板、人工骨板无移动;眶缘、颜面部畸形、眼球下移、内陷均得到有效矫正;复视和眼球运动受限得到明显改善,术后视力未下降;未发现植入物排斥现象或其他不良反应.结论复合性眼眶骨折的联合手术疗效确切,并发症少,能更有效地使解剖结构及功能恢复,提高手术成功率.
목적 평개복합성안광골절연합수술치료적림상료효.방법 회고총결2005년6월지2012년12월72례복합성안광골절병례,포괄로-광골절10례、비-광-사골절12례、광-권골절38례、다발성골절12례,균채용연합수술골절복위내고정、안광정복중건수술.통과안광CT판단골절적복위정황,평개안면부기형、안구내함개선정도,평고안구운동、복시화시력등.결과 술후수방6～84개월,평균(12.03±2.31)월.안광CT시:골절대위량호,태판、인공골판무이동;광연、안면부기형、안구하이、내함균득도유효교정;복시화안구운동수한득도명현개선,술후시력미하강;미발현식입물배척현상혹기타불량반응.결론 복합성안광골절적연합수술료효학절,병발증소,능경유효지사해부결구급공능회복,제고수술성공솔.
Objective To evaluate the results of patients after complex orbital fracture surgery.Methods During June 2005 to December 2012,72 patients with complex cases of orbital fracture,including 10 cases of cranial-orbital fractures,12 cases of nasal-orbital-Screen fractures,38 cases of orbital-cheekbones fold,12 cases of multiple orbital fractures,adopted combined surgeries for fracture reduction and internal fixation and orbital reconstructive surgery.Results Orbital CT findings showed that no displacement happened in titanium implants and synthetic bones; facial deformity and enophthalmos were well corrected; diplopia and the limit of eyeball movement were significantly improved; no visual loss,no rejection or other adverse reactions occurred.Conclusions Patients with complex orbital fracture treated through combined surgery has fewer complications,and more effective in the anatomical structure and functional recovery,improve the success rate of surgery.