青少年眼眶爆裂性骨折修复手术的临床分析  

Clinical analysis of the repairing surgery for adolescent orbital blow-out fractures

作　　者：王彬 卜战云 Wang Bin;Bu Zhanyun(Department of Ophthalmology,Henan Provincial People’s Hospital of Henan University,Zhengzhou 450003,China)

机构地区：[1]河南大学河南省人民医院眼科,郑州450003

出　　处：《中华眼外伤职业眼病杂志》2020年第4期241-245,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：河南省科技厅基础研究项目(142300410265);河南省医学科技攻关项目(201203167)。

摘　　要：目的:总结青少年眼眶爆裂性骨折的临床特征,评估其手术修复的效果和植入材料的安全性。方法:回顾性病例研究。分析河南省人民医院2015年2月至2018年6月青少年眼眶爆裂性骨折修复手术61例(61只眼)的临床资料。根据骨折缺损面积,其中57例术中植入可吸收材料(PolyMax Rapid),4例术中植入镶嵌钛网高密度多孔聚乙烯种植体(Medpor-Titan)。术后随访6个月,观察临床效果。结果:本组中男52例,女9例。年龄范围10~22岁,平均(16.98±4.45)岁,交通事故为最常见的骨折原因。术前有复视的55例中,术后53例(96.36%)复视完全矫正;术前有眼球运动障碍的52例中,术后50例(96.15%)眼球运动功能恢复正常。所有患者在随访期内均无与眼眶植入物相关的并发症。结论:青少年眼眶爆裂性骨折复视和眼球运动障碍发生率高,使用可吸收材料作为植入物手术效果良好,对于大面积的骨质缺损,可以使用Medpor-Titan进行修复。Objective To summarize the clinical features of adolescent orbital blow-out fractures and evaluate the efficacy of the repairing surgery and safety of implant materials.Methods This was a retrospective case study.The clinical data of 61 eyes of 61 cases with adolescent orbital blow-out fractures from Feb.2015 to Jun.2018 in Henan Provincial People’s Hospital were analyzed.Based on the fracture defect area,57 cases were implanted with absorbable materials(PolyMax Rapid)and 4 cases with Medpor-Titan.The follow-up period was 6 months.The clinical efficacy was observed.Results There were 52 males and 9 females in this group.The ages ranged from 10 to 22 years,with an average of(16.98±4.45)years.Traffic accident was the most common cause of the fractures.There were 55 cases with diplopia before operation.Diplopia was completely corrected in 53 cases(96.36%)after operation.There were 52 cases with ocular motility disorders before operation.Postoperative eye movement function returned to normal in 50 cases(96.15%).None of the patients had complications associated with orbital implants during the follow-up period.Conclusion The adolescent orbital blow-out fractures come with high incidences of diplopia and ocular motility disorders.The absorbable material has achieved good surgical effects as an implant.For large bone defects,Medpor-Titan can be used for the repairation.

关 键 词：骨折 爆裂性 眼眶 青少年 可吸收性植入物 眼球运动障碍 

分 类 号：R779.6[医药卫生—眼科]