眼眶下壁骨折术后长期复视原因分析  

Analysis for prolonged postoperative diplopla in orbital floor fracture

作　　者：王树纲[1] 邹吉新[1] 张繁友[1] 

机构地区：[1]大连市第三人民医院眼科,辽宁大连116021

出　　处：《中华眼外伤职业眼病杂志》2013年第5期361-362,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的分析眼眶骨折手术失败的原因。方法眼眶下壁骨折术后长期复视12例临床资料进行回顾性研究。结果12例眶下壁骨折主要表现为垂直复视及眼球内陷。均行手术治疗。术后表现为复视加重并长期不缓解；术后计算机断层成像（CT）显示其中9例存在骨折后缘分离不彻底，存在医源性嵌顿；2例楔形眶底材料使用者植入材料位置靠前，造成眼球上移位；1例儿童骨折存在术后再粘连及肌腹上抬现象。结论手术中彻底的分离并还纳眶内组织，正确的植入位置及防粘连措施是眼眶骨折手术成功的重要因素。Objective To analysis the failure reasons for surgical treatment in orbital floor frac- ture. Methods The retrospective analysis comprised 12 cases of prolonged diplopia after repair for orbital floor fracture. Results 12 patients with orbital floor fracture showed vertical diplopia and enophthalmos and underwent surgery. Postopomtively, exacerbation and prolonged diplopia showed in all cases. 9 cases suffered from incomplete dissection of herniated sole tissue into posterior fracture site, even surgical incarceration; 2 cases suffered from upward dystopia , for the reason of failure to place implantment posterior to the equator of the globe, and 1 pediatric patient, whose failure caused possibly by muscle＇ s adhesion and shift of orbital fracture. Conclusion Adquate fracture reduction, correct implant placement, and preventment for adhe- sion are important for surgical repairrnent of orbital fracture.

关 键 词：眼眶骨折 复视 

分 类 号：R779.6[医药卫生—眼科]