介入室X线电视系统下眶内及眶周金属异物摘出术的临床观察  

Clinical Observation on the Excisions of Intraorbital and/or Periorbital Metallic Foreign Bodies Under the Teleroentgen System of Interventional Radiology Room

作　　者：李杰 阳艳萍 毛正兴 周伟玲 邓柳燕 

机构地区：[1]解放军第422中心医院眼科,广东湛江524009 [2]解放军第422中心医院麻醉科,广东湛江524009

出　　处：《现代生物医学进展》2015年第4期710-713,共4页Progress in Modern Biomedicine

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临床效果。方法：选择2002年7月至2012年7月我院收治的金属异物患者86例86只眼,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（3.5%）。随访2~18（9.2±5.3）月。末次随访时视力达术前水平62例（72.1%）,视力提高21例（24.4%）。术前及术后末次随访时眼球运动障碍分别为34例（39.5%）和16例（18.6%）,术前及术后末次随访时外伤性上睑下垂分别为5例（5.8%）和3例（3.5%）。结论：在介入室X线电视系统下摘出眶内及眶周金属异物对眶内及眶周组织损伤小,手术时间短,疗效满意,便于操作,值得推广。Objective：To investigate the clinical effect of excisions of intraorbital and/or periorbital metallic foreign bodies with the help of teleroentgen system.Methods：Selecting 86 cases （86 eyes） of metallic foreign body patients in our hospital from July 2002 to July 2012.Individual surgical methods were made according to the imaging fetures got by teleroentgen system to extract the intraorbital and/or periorbital 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 cases （3.5%） in two operations.Over a period of 2 ～ 18 （9.2＆#177; 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 cases （39.5%） and 16 cases （18.6%） in the last preoperative and postoperative follow-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 which excisions ofintraorbital and/or periorbital metallic foreign bodies under the teleroentgen system of interventional radiology room with little intraorbital and periorbital tissue damage,shorter operative time and satisfactory results is easy to operate and worth promoting.

关 键 词：X线电视系统 金属异物 眶内及眶周 摘出术 

分 类 号：R779[医药卫生—眼科]