爆裂性眼眶骨折所致眼球内陷的诊断与治疗进展  

Advances in the diagnosis and treatment of enophthalmos due to burst orbital fracture

作　　者：齐晗 刘金玲[1] Qi Han;Liu Jinling(Department of Ophthalmology,the Third Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第三医院眼科,石家庄050000

出　　处：《国际眼科纵览》2024年第4期305-310,共6页International Review of Ophthalmology

基　　金：2022年河北省医学适用技术跟踪项目(GZ2022034)。

摘　　要：眼眶骨折是眼部外伤的常见类型,主要临床表现包括眼球内陷、双眼复视、眼球转动受限、眶下神经支配区感觉障碍等,眼球内陷是其中最常见、最影响外观的并发症之一。引起眼球内陷的机制主要与眶内容物体积与眼眶骨性容积失衡有关。传统的眼眶骨折修复技术通常是临床医生根据经验对眼眶CT平扫图像进行分析后实施手术,此项操作具有非常强的主观性,需要手术医生反复多次进行尝试,力求最佳修复结果,但一般很难达到精准修复。植入物的选择也十分重要,可吸收材料修复效果被广泛认可。目前三维打印技术在临床中广泛应用,采用三维打印预成型技术对眼球内陷患者植入材料进行个性化定制,整复眼眶骨折,对眼球内陷的改善更加明显。Orbital fracture is a common type of ocular trauma,and the main clinical manifestations include endophthalmos,binocular diplopia,limited eye rotation,and sensory deficits in the infraorbital innervation area,and so on,with endophthalmos being one of the most common and cosmetically compromising complications.The mechanism causing endophthalmos is mainly related to the imbalance between the volume of orbital contents and orbital bony volume.The traditional surgical technique for orbital fracture repair is usually performed by the clinician after analyzing the CT scanning image data of the orbit according to his experience,which is very subjective and requires the surgeon to make repeated attempts to achieve the best repair results,but it is generally difficult to achieve accurate repair.The choice of implant is also very important to the outcome of the procedure,and the results of resorbable material restorations are widely recognized.At present,three-dimensional printing technology is widely used in the clinic,using three-dimensional printing preform technology to personalize the implant material for fracture patients,and orbital fracture revision surgery can improve the endophthalmos more obviously.

关 键 词：眼眶骨折 眼球内陷 三维打印 

分 类 号：R779.12[医药卫生—眼科]