摘要
目的:通过对眼眶内壁联合下壁骨折患者手术后眼球内陷治疗情况的临床观察,探讨不同手术位点的修复对手术预后的意义。方法:回顾性分析眼眶内壁与下壁骨折伴眼球内陷23例23眼患者的临床资料。术后观察3mo,眼球内陷均小于2mm。通过术后CT检查,分析后隅角、内壁上缘、下壁外缘三个手术位点的修复情况。结果:术后患者预后良好,三个手术位点的修复情况是不同的,其中后隅角的修复率最高(100%),内壁上缘的修复率次之(83%),下壁外缘修复率最低(43%)。结论:不同手术位点的修复对于手术效果的影响是不同的,其中后隅角的修复对手术效果作用最大;手术中对重要位点的关注可以指导手术操作,减小手术风险。
AIM： To investigate the importance between severaledge points repair through enophthalmos study afterorbital wall fracture repair surgery.METHODS： The date of 23 eyes of 23 cases with medial-inferior orbital wall fracture with enophthalmos werecollected and analyzed retrospectively. All casesunderwent orbital fracture surgery, the follow - up timewas 3mo. After surgery, the degree of enophthalmos waswithin 2mm. The repair of bony buttress, exterior marginof inferior orbital wall, and superior margin of medialorbital wall after surgery were analyzed.RESULTS： In these well - recoverd patients, repair ratebetween bony buttress（100%）, exterior margin of inferiororbital wall （43%） and superior margin of medial orbitalwall （83%） were different.（ ）CONCLUSION： The repair of bony buttress was mostimportant for surgery. Analysis between surgical efficacyand edge points repair is valuable for surgical operationand risk control.
作者
王树纲
刘伟利
祁媛媛
Shu-Gang Wang;Wei-Li Liu;Yuan-Yuan Qi(Department of Ophthalmology,the Third People＇s Hospital ofDalian,Dalian 116029,Liaoning Province,China)
出处
《国际眼科杂志》
CAS
北大核心
2018年第11期2106-2107,共2页
International Eye Science
关键词
眼眶骨折
眼球内陷
后隅角
orbital fracture
enophthalmos
bony buttress
