眼眶骨折修复术的临床应用研究进展  

Research advances of clinical applications in repairing surgery for orbital fracture

作　　者：姚登明 陈明[1] 柴广睿[1] 刘璐[1] 王梦 李鹤明 张鹤 YAO Deng Ming;CHEN Ming;CHAI Guang Rui;LIU Lu;WANG Meng;LI He Ming;ZHANG He(From the Department of Ophthalmology,Shengjing Hospital of China Medical Univerity,Shenyang 110004,Liaoning Province,China;Department of Ophthalmology,Central Hospital Affiliated to Shenyang Medical College,Shenyang 110020,Liaoning Province,China;Aier Eye Hospital of Shenyang,Shenyang 110003,Liaoning Province,China;Department of Ophthalmology,the Fourth People’s Hospital of Shenyang,Shenyang 110031,Liaoning Province,China)

机构地区：[1]中国医科大学附属盛京医院眼科,辽宁省沈阳市110004 [2]沈阳医学院附属中心医院眼科,辽宁省沈阳市110020 [3]沈阳爱尔眼科医院,辽宁省沈阳市110003 [4]沈阳市第四人民医院眼科,辽宁省沈阳市110031

出　　处：《眼科新进展》2018年第3期290-294,共5页Recent Advances in Ophthalmology

摘　　要：眼眶骨折作为眼外伤的常见类型,主要表现为眼球内陷、复视及眶下神经损伤,影响眼的正常功能。若眼球内陷过重,有严重复视或眶下神经损伤,常需行眼眶骨折修复术来恢复正常解剖结构。而眼眶解剖的特殊性和复杂性,使得手术入路和植入材料的选择举足轻重,根据骨折的具体位置可选择不同的手术入路,以期以最小的手术损伤达到最理想的预后,结膜入路能获得较大的手术视野,且术后并发症较少,可以作为眶壁骨折修复术的标准入路之一。钛网和各类可吸收材料均具有较高的稳定性和可塑性,是目前较为理想的植入材料。同时,新兴的3D预成型技术在骨折修复术中的应用也日趋成熟,为骨折修复术的个体化、精准化指引了新方向。As one of the common type of ocular injuries,orbital fracture can result in enophthalmos,diplopia and infraorbital nerve injury,which affects the physiological function of eyeball.Repairing surgery for orbital fracture should be treated for reconstructing the orbital anatomical structure in case of severe enophthalmos and diplopia,or infraorbital nerve injury.Meanwhile,it’s crucial to identify the suitable surgery approach and implants because of the specificity and complexity of the orbit.What a clinician expected most is the ideal prognosis obtained easily with minimal operation complication.Transconjunctival approach should be applied as one of the standard approaches for repairing surgery of orbital fracture,offering good operative field with less complications.Titanium mesh and resorbable materials are the ideal implants at present,for their high level of stable quality and plasticity.More and more applications of 3D printed rapid prototyping technique can guide the new directions of individualization and precision of repairing surgery for orbital fracture.

关 键 词：眼眶爆裂性骨折 结膜入路 钛网 3D预成型 trapdoor骨折 

分 类 号：R777.5[医药卫生—眼科]