复合性眼眶骨折联合手术的临床分析  

Clinical research of combined surgeries for complex orbital fracture

作　　者：廖洪斐[1] 庞云[1] 刘维锋[2] 梁玲玲[1] 王耀华[1] 张向荣[3] 易敬林[1] 

机构地区：[1]南昌大学附属眼科医院,330006 [2]南昌大学第三附属医院,330006 [3]南昌大学第一附属医院,330006

出　　处：《中国实用眼科杂志》2013年第11期1474-1478,共5页Chinese Journal of Practical Ophthalmology

摘　　要：目的评价复合性眼眶骨折联合手术治疗的临床疗效。方法回顾总结2005年6月至2012年12月72例复合性眼眶骨折病例，包括颅一眶骨折10例、鼻一眶一筛骨折12例、眶一颧骨折38例、多发性骨折12例，均采用联合手术骨折复位内固定、眼眶整复重建手术。通过眼眶CT判断骨折的复位情况，评价颜面部畸形、眼球内陷改善程度，评估眼球运动、复视和视力等。结果术后随访6～84个月，平均（12．03±2．31）月。眼眶CT示：骨折对位良好，钛板、人工骨板无移动；眶缘、颜面部畸形、眼球下移、内陷均得到有效矫正；复视和眼球运动受限得到明显改善，术后视力未下降；未发现植入物排斥现象或其他不良反应。结论复合性眼眶骨折的联合手术疗效确切，并发症少，能更有效地使解剖结构及功能恢复，提高手术成功率。Objective To evaluate the results of patients after complex orbital fracture surgery. Methods During June 2005 to December 2012, 72 patients with complex cases of orbital fracture, in- cluding 10 cases of cranial - orbital fractures, 12 cases of nasal - orbital - Screen fractures, 38 cases of orbital - cheekbones fold, 12 cases of multiple orbital fractures, adopted combined surgeries for fracture reduction and internal fixation and orbital reconstructive surgery. Results Orbital CT find- ings showed that no displacement happened in titanium implants and synthetic bones; facial deformity and enophthalmos were well corrected; diplopia and the limit of eyeball movement were significantly improved; no visual loss, no rejection or other adverse reactions occurred. Conclusions Patients with complex orbital fracture treated through combined surgery has fewer complications, and more ef- fective in the anatomical structure and functional recovery, improve the success rate of surgery.

关 键 词：复合性眼眶骨折 联合手术 

分 类 号：R697.32[医药卫生—泌尿科学]