眶鼻联合手术治疗眶底壁击出性骨折  

The treatment of blowout fracture of the orbital floor with the assistance of nasal endoscope

作　　者：张雪彤[1] 孙常领[2] 李佳[1] 

机构地区：[1]无锡市第四人民医院眼科 [2]无锡市第四人民医院耳鼻咽喉科,江苏无锡214062

出　　处：《中国中医药咨讯》2010年第32期20-21,共2页

摘　　要：目的：探讨眶鼻联合手术治疗眶底壁击出性骨折的疗效。方法：12例单纯眶底壁击出性骨折的患者，年龄12～49岁，男8例，女4例。所有患者均有不同程度的复视和眼球内陷，经眶鼻联合手术进行眶底壁击出性骨折修复。结果：12例患者中，眼球内陷完全矫正5例，眼球内陷小于2mm4例，眼球内陷仍大于2mm3例。术后复视消失2例，术后半年至一年复视消失3例；术后一年有Ⅰ-Ⅱ级复视6例，仍有Ⅲ级复视1例。无严重眼部并发症。结论：在鼻内镜辅助下行眶底壁骨折整复，可以清楚地观察眶底壁骨折以及疝入到上颌窦内的眶内软组织的情况，可以使手术操作更加精细从而提高手术效果。Objectives：To investigate the efficiency of the treatment of blowout fracture of the orbital floor with the assistance of nasal endoscope.Method：12 patients with pure blowout fracture of the orbital floor, age ranged from 12 to 49 yeas old,male 8 cases,female 4 caes,all of them had evident diplopia and enophthalmos. All of them underwent surgical treatment with the assistance of nasal endoscope in this study.Result：Of the 12 patients, 5 patients was completely recoveried from enophthalmes,4 paients had improved. 2 patients was recoveried from diplopia after surgery,3 patients recoveried 6 month to 1 year after surgery;6 patients still had diplopia of Ⅰ degree or Ⅱ degree 1 year after,1 patient still had diplopia of Ⅲ degree 1 year after .Conclusion：with the assistance of nasal endocope,good vision of the orbital floor and the herniated periorbital soft tissues can be obtained,hence promote the efficacy of the treatment.

关 键 词：眶壁骨折 眶鼻内镜联合 手术 

分 类 号：R697.32[医药卫生—泌尿科学]