摘要
目的:评估外科导航技术进行创伤性眶壁损伤重建的效果。方法:纳入20例采用外科导航技术治疗的创伤性眶壁损伤的患者为实验组,20例常规治疗者为对照组。对患者术前术后的眼球突度、眶腔容积、患者满意度等各项指标进行测量,并进行统计分析。结果:导航组和对照组术后健患侧眼球突度差值分别为(0. 81±0. 35) mm和(1. 65±0. 37) mm(P <0. 05),眶腔容积差值分别为(0.68±0.29) ml和(0.98±0.22) ml(P <0. 05)导航组健患侧眶腔容积差值较小(P <0. 05),手术时间更短(P <0.05),患者满意度更高(P <0.05)。结论:外科导航技术可明显提高外伤性眶壁损伤重建手术的准确性和术后效果。
Objective: To evaluate the effects of surgical navigation technique in the reconstruction of traumatic orbital wall defect.Methods: 20 patients underwent the operation with the aid of navigation for repairing traumatic orbital wall defect as the test group. 20 patients were treated without navigation as the control group. Treatment outcome was evaluated by correction of exophthalmos,orbital volumes and patient’s self-satisfaction. Results: The mean difference of eyeball protrusion between the reconstructed and the unaffected orbit cavity in the navigation group and control group was( 0. 81 ± 0. 35) mm and( 1. 65 ± 0. 37) mm( P < 0. 05),that of the orbital volume( 0. 68 ± 0. 29) ml and( 0. 98 ± 0. 22) ml( P < 0. 05),respectively. The patient’s satisfaction value of the navigation group was higher than in the control group( P < 0. 05). The operation duration in the navigation group was less than in the control group( P <0. 05). Conclusion: Surgical navigation can improve the accuracy and the effects of operation for orbital defect reconstruction.
作者
刘洋
宗春琳
王敬夫
常士平
田磊
何黎升
LIU Yang;ZONG Chunlin;WANG Jingfu;CHENG Shiping;TIAN Lei;HE Lisheng(State Key Laboratory of Military Stomatology &National Clinical Research Center for Oral Diseases&Shaanxi Clinical Research Center for Oral Diseases,Department Oral and Maxillofacial Surgery,School of Stomatology,The Fourth Military Medical University,China,710032)
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2019年第1期37-40,共4页
Journal of Practical Stomatology
关键词
外伤性眶壁损伤
外科导航技术
眶壁重建
Traumatic orbital wall defect
Surgical navigation
Reconstruction of orbital wall
