CAJ | 학술논문

目的探讨鼻内镜下经泪阜径路行眶内侧壁骨折整复术治疗单纯性眶内侧壁骨折的可行性并分析其疗效.方法回顾性系列病例研究.对2011年5月至2012年5月期间衢州市人民医院收治的单纯性眶内侧壁骨折并接受鼻内镜下经泪阜径路行眶内侧壁骨折整复术的21例患者(21只眼)进行回顾性分析.观察所有患者眼球内陷、复视、眼球运动、视力等变化情况.结果随访时间8 ～ 20个月.随访期间未发现Medpor外科种植体的脱出、排斥、感染或其他不良反应.所有患眼手术前后视力无下降,术后双眼突出度基本一致,相差均＜2 mm.各方向眼球运动基本正常.13例复视消失,1例复视改善.结论鼻内镜下经泪阜径路行单纯性眶内侧壁骨折整复术术式安全,无明显并发症.
목적 탐토비내경하경루부경로행광내측벽골절정복술치료단순성광내측벽골절적가행성병분석기료효.방법 회고성계렬병례연구.대2011년5월지2012년5월기간구주시인민의원수치적단순성광내측벽골절병접수비내경하경루부경로행광내측벽골절정복술적21례환자(21지안)진행회고성분석.관찰소유환자안구내함、복시、안구운동、시력등변화정황.결과 수방시간8 ～ 20개월.수방기간미발현Medpor외과충식체적탈출、배척、감염혹기타불량반응.소유환안수술전후시력무하강,술후쌍안돌출도기본일치,상차균＜2 mm.각방향안구운동기본정상.13례복시소실,1례복시개선.결론 비내경하경루부경로행단순성광내측벽골절정복술술식안전,무명현병발증.
Objective To study the efficacy of endoscopic transcaruncular approach in the repair of isolated medial orbital fracture.Methods It was a retrospective case series study.Retrospective chart was reviewed in 21 patients (21 eyes) receiving endoscopic transcaruncular approach to reconstruct isolated medial orbital fracture at Quzhou People's Hospital from May 2011 to May 2012.Results of visual acuity,diplopia,protrusion degree of both eyes and the movement of eye balls was recorded for analysis.Results All patients were followed up for 8-20 months.There was no extrusion,rejection,infection or other complications of Medpor surgical implant during follow-up.There was no instance of decreased visual acuity at post-operation.The post-operative protrusion degree of both eyes was almost identical at less than 2 mm.The movement of eye balls was satisfactory in all directions.Diplopia disappeared in 13 cases,1 case improved.Conclusion Endoscopic transcaruncular approach is a safe and effective treatment in the repair of isolated medial orbital fracture.