在介入室X线电视系统下的眶内及眶周金属异物摘出术  

Excisions of Intraorbital and/or Periorbital Metallic Foreign Bodies with the Help of Teleroentgen System of Interventional Radiology Room

作　　者：毛正兴 李杰 钟华坤 MAO Zheng-xin, LI Jie, ZHONG Hua-kun （ Department of Ophthalmology,No. 422 Hospital of PLA, Zhanjiang 524005,China）

机构地区：[1]解放军第422中心医院眼科,广东湛江524005

出　　处：《医学信息》2011年第21期159-160,共2页Journal of Medical Information

摘　　要：目的探讨在介入室X线电视系统下摘出眶内及眶周金属异物的方法和效果。方法在介入室X线电视系统直视引导下，根据影像学特点制定个体化手术方法，经皮肤或结膜进路摘出眶内及眶周金属异物。结果86例均成功取出异物，其中一次手术取出83例（96．5％），二次手术取出3例（35％）。随访2~18（9．2±5．3）月。末次随访时视力达术前水平62例仃2．1徇，视力提高21例（244徇。其中有眼球运动障碍者：术前及术后随访分别为34例（39．5聊和16例（18．6％），有外伤性上睑下垂者：术前及术后随访分别为5例（5．8％）和3例（3．5哟。结论此手术方法对眶内及眶用组织损伤小，手术时间短，疗效满意，便于操作，值得推广。Objective To investigate the method and effect of excisions of intraorbital and/or periorbital metallic foreign bodies with the help of teleroentgen system. Methods Individual surgical methods were made according to the imaging features got by teleroentgen system to extract the intraorbltal and/or periorhital metallic foreign body through the skin or conjunctiva. Results Foreign bodies of 86 patients were successfully removed, including 83 cases （96.5%） in one operation, and 3 eases （3.5%） in two operations. Over a period of 2 - 18 （9.2 ＋ 5.3） months follow=-up, there were 62 patients （72.1%） whose eyesight reached the level as that before the operation, 21 patients（24.4%） whose eyesight has been improved in the last follow-up. The eye movement disorders were observed in 34 eases （39.5%） and 16 eases （18.6%） in the last preoperative and postoperative foliow-up respectively. And the traumatic ptosis were found in 5 cases （5.8%） and 3 cases （3.5%） in the preoperative and postoperative final follow up respectively. Conclusion The surgical method with little intraorbital and periorbital tissue damage, shorter operative time and satisfactory results is easy to operate and worth 13romoting.

关 键 词：X线电视系统 金属异物 眶内及眶周 摘出术 

分 类 号：R812[医药卫生—放射医学;医药卫生—临床医学]