摘要
目的分析眼眶爆裂性骨折早期和晚期手术治疗对其并发症的术后影响。方法应用CT扫描和眼眶三维重建，以Medpor为填充材料，对17例早期（10～14天）和14例晚期（3～6月）爆裂性骨折实施骨折整复眼眶重建术。结果早期患者中眼球内陷13例均得以矫正；复视10例术后复视消失8例，好转2例；眶下神经感觉迟钝9例术后改善6例。晚期患者中眼球内陷14例术后12例得以矫正；复视8例术后2例消失，2例好转，4例未改善或加重。结论手术是改善和治疗眼眶爆裂性骨折并发症的主要方法，不同手术时机对改善眼眶骨折后的并发症有着不同的影响。早期手术者术后并发症少，操作容易，效果好。
Objective To study the postoperative complications of early and late surgical management of orbit blow-out fracture. Methods Use CT scanning and 3-D reconstruction of the orbit,and take Medpor as the filled material, to do the taxis-fracture orbit reconstruction on 17 earlier cases（10-1gdays） and lg late cases（3-6days） blow-out fracture patient. Results Among the 10-1gdays patients,all 131 cases of endophthalmos were corrected; 10 cases diplopia,8 cases had no diplopia after operation,2 cases relived ;9 cases were infraorbital nerve dysesthesia,6 cases were ameliorated, Among the late patients of 3-6 months, 14 cases were endophthalmos, and 12 cases were corrected after operation;8 cases diplopia, 2 cases had no diplopia after operation,4 cases unimproved or even became aggravation, Conclusion Operation for orbit blow-out fracture is the primary treatment. Different operation occasions have different effect on amelioration orbital fracture complication. Early operation is easier,with fewer complications and better results.
出处
《眼外伤职业眼病杂志》
北大核心
2006年第6期418-419,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
眼眶骨折
并发症
手术时机
orbital fracture
complication
operation
