三维CT眶径测量在眶颧骨折治疗中的应用  

Application of three-dimensional CT orbital diameter measurement in orbital zygomatic fracture treatment

作　　者：邓诚[1] 归来 肖水生[1] 钟大文[1] 何玫[1] 李颖[1] 陈金华[3] 

机构地区：[1]重庆医科大学附属口腔医院口腔颌面外科,重庆400015 [2]中国医学科学院北京整形医院颅颌面整形外科,北京100041 [3]第三军医大学附属大坪医院放射科,重庆400042

出　　处：《重庆医科大学学报》2008年第5期584-587,共4页Journal of Chongqing Medical University

基　　金：重庆市卫生局课题(00-2-034)

摘　　要：目的:探讨眶颧骨折继发复视等畸形的有效治疗手段,缩小眶腔的有效方法,重建眶腔的参考标准。方法:术前三维CT眶径测量,术中测量、修复重建后测量对比,按测量值复位扩大的眶腔,使用材料衬垫眶壁,缩小眶容积。结果:术前CT测量值能更准确了解骨折移位及眶腔变化,手术前后测量对比是眶修复重建的重要依据。结论:眼球三维CT眶径测量简便实用,准确性高,术后效果好,对眶颧骨折继发畸形治疗、眶重建、缩小眶腔容积,治疗复视、眼球内陷有指导意义。Objective：To explore the effective treatment way of orbital zygomatic fracture with diplopia, reduce orbital capacity and regenerate referenced criterion of orbital capacity. Methods：To compare three-dimensional CT orbital diameters between before and after operation,and then reduce orbital capacity with special material. Results：Three-dimensional CT orbital diameter measurement can realize fracture shift and orbital capacity change accurately. Three-dimensional CT orbital diameter measurement before and after operation provides an important basis for orbital reconstruction. Conclusions：three-dimensional CT orbital diameter measurement is very simple,accurate and important for orbital zygomatic fracture treatment and orbital reconstruction.

关 键 词：眶颧骨折 眼球内陷 三维CT测量 

分 类 号：R782.4[医药卫生—口腔医学]