鼻内窥镜手术与经鼻外径路手术治疗眼眶内壁骨折疗效比较  

Evaluation of the effects of two operative option in the treatment of orbital fractures

作　　者：王广科[1] 王琳[1] 宋文君 刘武生[1] 胡云兰[1] 谢卫民[1] 

机构地区：[1]河南省人民医院耳鼻咽喉科,郑州450003 [2]登封市人民医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉科杂志》2001年第4期165-166,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨眼眶内壁骨折的治疗方法及其效果。方法 :对 34例眼眶内壁骨折患者 ,10例行鼻内窥镜手术治疗 ,另 2 4例行经鼻外径路手术治疗并进行疗效比较。结果 :经鼻内窥镜手术、鼻外径路手术治疗的总有效率分别为 90 .0 %、91.6 % ,两者差异无显著性意义 (P >0 .0 5 ) ,但前者的优点明显多于后者。结论 :鼻内窥镜手术治疗眶内壁骨折具有无面部切口、低创伤、视野清晰、能同时清除鼻窦病变、便于手术后复查等优点 ,是治疗本病最为适用的方法。Objective:In order to explore the treatment and it′s clinical effects of orbtal fractures.Method:34 patients were seperately treated with nasal endoscopic surgery and external nose incision surgery.Result:The total effective rate of nasal endoscopic surgery and external nose incision surgery was 90.0 %、 91.6 % respectively.There was no significant difference between the two groups (P> 0.05 ).Conclusion:Treating orbital fractures under nasal endoscopic surgery has advantages such as no incision on face,less damage,clear view and easy recheck after operation.It is the best way to treat this kind of disease.

关 键 词：鼻内窥镜手术 眶骨折 鼻窦 治疗 疗效 经鼻外径路手术 

分 类 号：R779.1[医药卫生—眼科]