摘要
目的探讨微型钛板塑形内固定整复术在眼眶骨折中的应用及疗效。方法选取2009年2月—2014年3月期间该院接收治疗的眼眶骨折患者共103例为研究对象,根据患者采取的内固定方式将103例患者分为观察组和对照组。其中55例患者采取微型钛板塑形内固定治疗为观察组,48例患者采取羟基磷灰石复合人工骨板内固定治疗为对照组。对比两组患者的愈合情况。结果本次微型钛板塑形内固定整复术中,一次性整复微型钛板固定成功27例,粉碎性眼眶骨折患者进行Ⅱ期整复微型钛板固定38例,所有患者均成功实施整复固定手术,手术后未出现排斥反应或脱落等并发症。随访3个月,经CT扫描检查,55例复合眼眶骨折,骨性眶壁解剖复位良好,整复材料无不良反应,无脱出、移位及感染。眼球内陷、移位恢复50例,占90.1%。52例中全部生活范围复视消失,3例（5.4%）残留周边复视。对照组中整复材料3例出现不良反应,2例脱出、1例移位并发感染,不良反应发生率为6.2%。眼球内陷、移位恢复36例,占65.5%。观察组患者的恢复率为90.1%,不良反应率为0.0%。对照组患者的恢复率1为65.5%,不良反应率2为6.2%。两组患者在恢复率、不良反应发生率上对比差异有统计学意义（χ1~2=6.384,P〈0.05;χ-2~2=5.937,P〈0.05）。结论在眼眶骨折的复位固定处理过程中,采用微型钛板塑形内固定整复术可以很好的对眼眶受损软组织进行整复,该方法操作简单,对患者影响较小,是整复眼眶和颜面部骨折理想材料之一,有利于促进患者眼球运动功能的恢复。
Objective To investigate the application and efficacy of moulding internal fixation plasty with titanium mini-plate in the treatment of orbital fracture.Methods 103 patients with orbital fracture admitted to our hospital between February 2009 and March 2014 were selected as the research object and divided into observation group and control group according to the method of internal fixation.55 patients in the observation group received moulding internal fixation plasty with titanium mini-plate,while 48 patients in the control groups received internal fixation with hydroxyapatite artificial bone.Healing of the two groups was compared.Results The miniature titanium shaping fixed pasty,a one-time success of the entire complex micro-plate fixation in 27 cases of orbital fractures were com minuted entire complex miniature titanium plate 38 cases of stage Ⅱ,all patients were successfully implemented the entire complex fixation reaction or loss and other complications after surgery does not appear exclusive.Follow-up in March,by CT scan,55 cases of complex orbital fractures,orbital bone anatomically well,the entire complex materials no adverse reaction,no prolapse,displacement and infection.Ophthalmologist,shift recover 50 cases,accounting for 90.1%.52 cases in all living areas diploma disappeared,three cases（5.4%） residues surrounding diploma.The control group,the entire complex material adverse reactions occur three cases,two cases of prolapse,one case shift concurrent infections,adverse reactions was6.2%.Ophthalmologist,shift recover 36 cases,65.5%.Observation group were 90.1%recovery rate of adverse reactions was 0.0%.The recovery rate in the control group 65.5%of patients 1,2 rate of adverse reactions was 6.2%.Comparing two groups of patients in the recovery rate,incidence of adverse reactions was significantly（χ1~2=6.384,P〈0.05;χ2~2=5.937,P〈0.05）.Conclusion In the process of orbital fracture fixation,the use of moulding internal fixation plasty with titanium mini-plate can be good for orbital soft t
出处
《中外医疗》
2015年第17期52-53,56,共3页
China & Foreign Medical Treatment
关键词
眼眶
骨折
微型钛板
临床疗效
Orbit
Fracture
Titanium mini-plate
Clinical efficacy
