眼眶爆裂性骨折Medpor修复手术并发症的分析  

Analysis on the complications of Medpor repairment for the orbital blowout fracture

作　　者：马红利 李世洋 肖建和 蒋安红 张小牛 苏红 Ma Hongli;LiShiyang;Xiao Jianhe;Jiang Anhong;Zhang Xiaoniu;Su Hong(Department of Ophthalmology, the 150th Central Hospital of PLA, Luoyang 471031, China;Department of Ophthalmology and Otorhinolaryngology, the 522th Hospital of PLA, Luoyang 471003, China)

机构地区：[1]解放军150中心医院眼科,洛阳471031 [2]解放军522医院五官科,洛阳471003

出　　处：《中华眼外伤职业眼病杂志》2018年第6期425-428,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的分析应用高密度多孔聚乙烯板（Medpor）修复眼眶爆裂性骨折术后并发症。方法对眼眶爆裂性骨折Medpor修复术后出现并发症的18（18眼）例资料进行回顾性分析。结果均为单侧骨折。手术后，视力明显下降1例，残留复视5例，眼球内陷欠矫5例，眼球偏移2例，颧颊部麻木2例，继发性泪囊炎2例，睑外翻1例。Medpor修复眼眶爆裂性骨折术后出现并发症的原因与受伤程度、部位、手术时机及手术技巧等因素有关。结论通过规范手术方式、及时发现及早期治疗等措施，可以减少并发症的危害，提高手术成功率。Objective To analyze the complications after orbital reconstruction with Medpor repairment for the treatment of orbital blowout fracture. Methods The data of 18 patients with complications after orbital reconstruction with Medpor were analyzed retrospectively. Results All cases were unilateral orbital blowout fracture. The visual acuity decreased significantly in 1 case, residual diplopia occurred in 5 cases, endophthalmos was undercorrection in 5 cases, eyeball deviation occurred in 2 cases, zygomatic cheek occurred in 2 cases, secondary dacryocystitis occurred in 2 cases and eyelid eetropion occurred in 1 case. The causes of postoperative complications of orbital reconstruction with Medpor repairment for orbital blowout fracture were related to the degrees of fracture injury process, location, operation time, doctor＇ s surgical techniques and experience. Conclusion The complications can be reduced or be avoided and the success rate of the operation will be improved with standardized surgical approach, timely detection and treatment measures.

关 键 词：眶骨折 爆裂性 聚乙烯多孔板 高密度 手术 修复 原因 并发症 

分 类 号：R779.6[医药卫生—眼科]