线性高密度多孔聚乙烯在眼眶骨折手术治疗中的疗效观察  

Clinical effect of Medpor in the treatment of orbital fracture

作　　者：陆骏麒[1] 袁一飞 

机构地区：[1]南京中医药大学附属常熟市中医院眼科,江苏常熟215500 [2]上海复旦大学附属眼耳鼻喉科医院眼科,200030

出　　处：《蚌埠医学院学报》2017年第8期1080-1082,1086,共4页Journal of Bengbu Medical College

摘　　要：目的:分析线性高密度多孔聚乙烯(Medpor)外科种植体整复眼眶爆裂性骨折和复合性骨折的临床效果及其特点。方法:对23例病人行高分辨率眼眶CT扫描和三维重建、了解眼眶骨折的部位、大小;用Hertel突眼计测量眼球内陷度数;同视机测量法分析复视情况。以Medpor作为手术主要整复材料,并进行6~12个月随访。结果:术后23例病人随访6个月及以上,其中22例病人眼球内陷>2 mm,21例病人眼球内陷完全矫正(95%);术前14例伴有复视病人,12例复视完全矫正(85%);术前11例病人眼球运动受限,10例恢复正常(90%)。术后2周与术后3个月、6个月眼球凹陷程度、运动受限程度、复视程度差异均有统计学意义(P<0.05)。结论:Medpor作为近年来用于临床的新型整形材料,用于眼眶骨折的整复,能有效矫正中重度眼球内陷及复视。Objective：To investigate the clinical effects and features of Medpor in the repairment of orbital blowout fracture（BOF） and compound fracture. Methods：The position and size of orbital fractures in 23 patients were identified using the high resolution CT scan and 3-D reconstruction. The degree of enophthalmos was measured using Hertel exophthalmometer,the diplopia was analyzed using synoptophore,and Medpor was used as the major orbital grafting material. The patients were followed up for 6 to 12 months. Results：Within the following up for more than 6 months,21 cases（95%） were completely corrected among 22 cases with enophthalmos more than 2 mm,12 cases（85%） were completely corrected among 14 cases with diplopia,and 10 cases（90%） recovered normal among 11 cases with movement limitation of eyeball before operation. The differences of the degrees of enophthalmos, movement limitation and deplopia between the postoperative 2 weeks,3 months and 6 months were statistically significant（P＆lt;0. 05）. Conclusions：As a new plastic surgery material,Medpor can be used to repair the orbital fracture,and effectively correct the moderate to severe enophthalmos and diplopia.

关 键 词：眼眶骨折 眼眶爆裂性骨折 眼球内陷 复视 多孔高密度聚乙烯 

分 类 号：R777.5[医药卫生—眼科]