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
2015年
2期
99-101
,共3页
蔡骐%吴莹%宋愈%喻建锋
蔡騏%吳瑩%宋愈%喻建鋒
채기%오형%송유%유건봉
眶,骨折,眼爆裂性%钛网,多孔聚乙烯
眶,骨摺,眼爆裂性%鈦網,多孔聚乙烯
광,골절,안폭렬성%태망,다공취을희
Fractures,orbital,blowout%Titanium mesh,porous polyethylene
目的 观察多孔聚乙烯包埋的钛网植入治疗眼眶爆裂性骨折的临床疗效.方法 回顾性总结20例(20只眼)眼眶爆裂性骨折(6例内侧壁骨折,6例下壁骨折,8例内、下壁联合骨折).复视6例,眼球内陷大于3 mm者6例,眼球明显下移2例,眼眶骨折面积大于20 mm×20 mm且较多眶内容疝出者6例.所有病例均行眼眶骨折整复术,内侧壁骨折者经内眦顺皮纹切口,下壁骨折及内、下壁联合骨折患者经下睑缘皮肤切口.骨折区植入多孔聚乙烯包埋的钛网.结果 随访3～6个月,复视完全消失5例,明显改善1例,6例眼球内陷者均矫正至内陷2 mm以内,2例眼球下移者均恢复正位,6例眼眶骨折大于20 mm×20 mm者未出现明显眼球凹陷,术后视力无明显变化.术后无植入物移位、脱出或眼球运动受限等并发症.结论 多孔聚乙烯包埋的钛网治疗眼眶骨折是安全、有效、稳定的.
目的 觀察多孔聚乙烯包埋的鈦網植入治療眼眶爆裂性骨摺的臨床療效.方法 迴顧性總結20例(20隻眼)眼眶爆裂性骨摺(6例內側壁骨摺,6例下壁骨摺,8例內、下壁聯閤骨摺).複視6例,眼毬內陷大于3 mm者6例,眼毬明顯下移2例,眼眶骨摺麵積大于20 mm×20 mm且較多眶內容疝齣者6例.所有病例均行眼眶骨摺整複術,內側壁骨摺者經內眥順皮紋切口,下壁骨摺及內、下壁聯閤骨摺患者經下瞼緣皮膚切口.骨摺區植入多孔聚乙烯包埋的鈦網.結果 隨訪3～6箇月,複視完全消失5例,明顯改善1例,6例眼毬內陷者均矯正至內陷2 mm以內,2例眼毬下移者均恢複正位,6例眼眶骨摺大于20 mm×20 mm者未齣現明顯眼毬凹陷,術後視力無明顯變化.術後無植入物移位、脫齣或眼毬運動受限等併髮癥.結論 多孔聚乙烯包埋的鈦網治療眼眶骨摺是安全、有效、穩定的.
목적 관찰다공취을희포매적태망식입치료안광폭렬성골절적림상료효.방법 회고성총결20례(20지안)안광폭렬성골절(6례내측벽골절,6례하벽골절,8례내、하벽연합골절).복시6례,안구내함대우3 mm자6례,안구명현하이2례,안광골절면적대우20 mm×20 mm차교다광내용산출자6례.소유병례균행안광골절정복술,내측벽골절자경내자순피문절구,하벽골절급내、하벽연합골절환자경하검연피부절구.골절구식입다공취을희포매적태망.결과 수방3～6개월,복시완전소실5례,명현개선1례,6례안구내함자균교정지내함2 mm이내,2례안구하이자균회복정위,6례안광골절대우20 mm×20 mm자미출현명현안구요함,술후시력무명현변화.술후무식입물이위、탈출혹안구운동수한등병발증.결론 다공취을희포매적태망치료안광골절시안전、유효、은정적.
Objective To observe the clinical efficacy of porous polyethylene titanium mesh implants for orbital blowout fractures.Methods The data of 20 eyes of 20 cases of blowout orbital fracture were retrospectively analyzed,including 6 cases of orbital medial wall fractures,6 cases of orbital floor fractures,and 8 cases of orbital floor and medial wall fractures.There were 6 cases with diplopia,6 cases with enophthalmos more than 3 mm,2 cases with apparent downward globe dystopia,6 cases of the fracture area over 20mm x 20mm with herniation of large amount of orbital contents.Orbital fracture repair surgery was performed in all cases.The diorthosis of orbital fracture with an incision at inner canthus to implant porous polyethylene titanium mesh was performed in 6 cases of orbital medial wall fractures.Diorthosis of orbital fracture with an incision at lower palpebral margin to implant prefabricated mesh was performed in the rest 14 cases.Results All patients were followed up for 3 to 6 months.Diplopia was completely disappeared in 5 cases,and improved in 1 case.The 6 cases of enophthalmos was successfully corrected to less than 2 mm of enophthalmos.The vertical globe dystopia of the 2 cases disappeared.6 cases of the fracture area more than 20 mm × 20 mm had not showed enophthalmos.No visual acuity impairment was observed.No complications such as limited eyeball movement,rejection or migration of the implants occurred.Conclusion Porous polyethylene titanium mesh implants for orbital blowout fractures is safe,effective and stable.
