手术和保守治疗爆裂性眼眶骨折的结果：90例患者的临床分析  

Treatment of orbtical blow-out fracture by surgical or conservative therapy: A retrospective study of 90 cases

作　　者：刘洋[1] 常士平 贾骏麒 张武阳 马秦 LIU Yang, CHANG Shiping, JIA Junqi, ZHANG Wuyang, MA Qin(710032 Xi＇an, State Key Laboratory of Military Stomatology ＆ National Clinical Research Center for Oral Diseases ＆ Shaanxi Clinical Research Center for Oral Dis- eases, Department of Oral and Maxillofacial Surgery, School of Stomatology of the Fourth Military Medical University, Chin)

机构地区：[1]军事口腔医学国家重点实验室,口腔疾病国家临床医学研究中心,陕西省口腔疾病临床医学研究中心,第四军医大学口腔医院口腔颌面外科,西安710032

出　　处：《实用口腔医学杂志》2018年第2期244-247,共4页Journal of Practical Stomatology

摘　　要：目的:回顾性分析手术或保守治疗爆裂性眼眶骨折的结果。方法:90例爆裂性眼眶骨折患者中手术治疗40例,保守治疗50例,随访1年,对治疗效果进行回顾性队列研究。结果:40例手术治疗的患者随访数据完整者39例,19例术前有四周目光复视者13例(33%)术后3个月仍有四周目光的复视,12例(31%)患者术后6个月仍有四周目光的复视;31例眼球内陷的患者术后3月和6月有3例(8%)眼球内陷。50例保守治疗的患者随访数据完整者26例,11例术前有四周目光复视者有9例(35%)在伤后3个月有四周目光的复视,有8例(31%)在伤后6个月有四周目光的复视。15例眼球内陷的患者伤后3个月和6个月有13例(50%)眼球内陷。结论:对于爆裂性眼眶骨折手术治疗相对于保守治疗后遗眼球内陷率较低。2种方法治疗后患者在3个月后都趋于稳定,后遗四周目光复视率近似(约30%)。Objective： To compare the effects of surgical and conservative therapy in the treatment of orbital blow-out fracture. Methods： 90 cases of obital blow-out fracture were treated by surgical（ n = 40） and conservative （n = 50） trerapy respectively, the pa- tients were fllowed up for 12 months. The treatment outcome was retrospectively analysed. Results： Of the 40 patients managed surgi- cally 39 were with complete follow up data, 19 had diplopia in peripheral gaze before surgery, 13 （33%） had at 3-month and 12 （31%） had at 6-month follow-up. 31 had enophthalmus before surgery and 3（8% ） had at 3-month and 6-month follow-up. Of the 50 patients managed conservatively 26 were with complete follow-up data, 11 had diplopia in peripheral gaze initially, 9 （35 % ） had at 3-month and 8（31% ） had at 6-month follow-up. 15 had enophthalmus initially and 13（50% ） had at 3-month and 6-month follow- up. Conclusion： Surgical therapy is more effective for the treatment of enophthalmus. The effects tend to be stable 3 months after treatment, the ratio of diplopia in peripheral gaze after treatment by the 2 treatments is similar（ about 30% of the total cases）.

关 键 词：眼眶骨折 爆裂性眼眶骨折 复视 眼球内陷 

分 类 号：R779.1[医药卫生—眼科]