摘要
目的 :探讨筛骨纸板击出性骨折程度的分级标准及其治疗方法。方法 :对 10 8例纸板击出性骨折的临床情况进行分析 ,分级 :Ⅰ级 71例 ,Ⅱ级 33例 ,Ⅲ级 4例 ,分别采取不同的处理方法。结果 :对无复视的Ⅰ级 4 3例未行特殊治疗 ,有复视的Ⅰ级 2 8例行保守治疗 ,治愈率为 92 .9% (2 6 / 2 8) ;对保守效果不佳的Ⅰ级 1例 ,Ⅱ、Ⅲ级共 34例行手术治疗 ,治愈率为 88.2 % (30 / 34)。不愿接受手术的Ⅱ、Ⅲ级患者共 4例给予保守治疗 ,治愈率为2 5 % (1/ 4 )。结论 :对纸板击出性骨折进行分级 ,这对判断病情、选择治疗方法均有很高的参考价值 。
Objective:To investigate the classification criterion and the treatment of lamina papyracea blow out fracture. Method:A clinic analysis was made on 108 case with lamina papyracea blow out fracture. According to the classification, different treatments were taken differently.Result:The classification of 108 cases were reported as follows: 71 cases were classified as level 1, 33 cases as level 2, 4 cases as level 3. There was no special treatment for 43 cases (level 1) who had no diplopia. 28 cases (level 1) who had symptom of diplopia were treated conservatively. Its cure rate was 92.9 %(26/28). Other 34 cases were operated. Among them, 33 cases were classified as at least level 2, 1 case who had no satisfactory curative effect with conservative therapy was classified as level 1.The cure rate was 88.2 %(30/34). The other 4 cases classificd as level 2 or 3 who didn't accept operation were treated conservatively,the cure rate was 25% (1/4).Conclusion:The classification of lamina papyracea blow out fracture facilitates the judgement of patient's condition and the selection of treatment. The transnasal endoscopic operation on serious lamina papyracea blow out fracture cases produces a good curative effect.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2002年第2期51-53,共3页
Journal of Clinical Otorhinolaryngology
