22例车祸所致复合性眼眶骨折修复手术的临床疗效观察  

Clinical observation of surgical repair of complex orbital fractures caused by traffic accident

作　　者：陈再洪[1] 应瑜[1] 赵丹妮[1] 涂运输[1] 

机构地区：[1]重庆市急救医疗中心眼科,400014

出　　处：《重庆医学》2011年第6期557-558,共2页Chongqing medicine

摘　　要：目的观察车祸所致复合性眼眶骨折的手术治疗效果。方法回顾性分析22例车祸所致复合性眼眶骨折患者手术治疗前、后的临床资料,通过对所有患者术前及术后第1、3、6个月复查受伤眼复视、眼球运动及眼球凹陷情况以分析手术治疗车祸所致复合性眼眶骨折的疗效。结果术前22例有不同程度的复视、眼球运动障碍及眼球凹陷患者术后6个月,仅3例残留复视,但复视程度明显减轻;4例残留眼球运动障碍,但运动障碍程度明显减轻;22例眼球凹陷明显改善。结论手术修复复合性眼眶骨折能够有效改善眼球运动障碍和复视程度,能够有效改善眼球内陷及美观。Objective To investigate the surgical efficacy of complex orbital fractures caused by the traffic accident.Methods The clinical data in our hospital of 22 patients with complex orbital fracture due to traffic accident were retrospectively analyzed pre and post operation,the surgical treatment effects were recorded according to diplopia,eye ball movement disorders and enophthalmos before and after the surgical done 1,3,6 months.Results 22 patients before surgery had varying degrees of diplopia,eye ball movement disorders and enophthalmos.Only 3 cases residual diplopia after 6 months,but reduced significantly,4 cases had eye ball movement disorders,but significantly reduced the level.The ocular depression improved significantly in 22 patients.Conclusion Surgical repair of complex orbital fracture can improve the eye ball movement disorders and double vision levels,and can effectively solve the problems of enophthalmos and esthetics.

关 键 词：骨折 复视 眼球运动障碍 眼球内陷 修复手术 

分 类 号：R779.6[医药卫生—眼科]