摘要
目的评价采用可吸收材料修复眶底骨折的临床效果。设计回顾性病例系列。研究对象北京同仁医院口腔科12例眶底爆裂性骨折眶下壁缺损面积〈2．6cm^2的患者。方法所有患者术中采用下睑缘切口进行眶底骨折整复，于眶底缺损浅面植入可吸收眶底板（型号851．852．01s，瑞士辛迪思公司）重建眶壁。所有患者术前、术后均拍摄双眶水平及冠状位CT，并进行比较。平均随访（6．4±1．8）个月。主要指标眼部表现、眶壁修复情况及并发症。结果术后5／12例患者复视和眼球运动受限消失，7／12例患者改善，未出现术后感染及植人物外露。所有患者术后眶下区麻木于3～6个月消失。术前、术后CT检查对比，所有患者眶底缺损均已修复，眶底植入物材料位置良好，未见眶内容物嵌入上颌窦内。结论可吸收材料用于2．6cm。以下的眶底骨折的修复重建近期效果良好。
Objective To assess the short-term effect of resorbale implants in the treatment of orbital floor fractures. Design Ret- rospective case series. Participants 12 cases of orbital floor fractures with less than 2.6 cm^2 of floor defect. Methods All the patients underwent orbital floor reconstruction via subciliary approach. The resorbale implants were placed on the surface of orbital floor defect. The orbital axial CT and coronal CT scans have been used and compared in all the cases preoperatively and postoperatively. The mean follow-up was 6.4±1.8 months. Main Outcome Measures Ocular symptom, radiological evaluation and complications. Results The diplopia and the restricted globe movement were resolved in 5/12 cases, improved in 7/12 cases. The infection and the extrusion of the implants did not occur after surgery. The paresthesia of the infraorbital distribution with different extent were observed in all cases and could be resolved within 3 to 6 months after operation. CT scans show that the orbital floor was reconstructed and the orbital implants did not dislocate. Conclusion The resorbable implant is an acceptable material for orbital floor reconstruction less than 2.6 cm^2 in the short term.
出处
《眼科》
CAS
2014年第4期247-250,共4页
Ophthalmology in China
关键词
眶底骨折
外科学
可吸收植入物
复视
orbital floor fracture/surgery
resorbable implant
diplopia
