摘要
目的探讨眶壁爆裂性骨折手术疗效及手术时机。方法采用眶壁修补术治疗76例眶壁爆裂性骨折患者。术后随访3mo～1a,观察患者复视、眼球突出度、眼球活动度及其并发症。结果①手术后对眼球内陷疗效的观察早期手术治愈率69%,好转率31%。晚期手术治愈率69%,好转率31%。在治疗眼球内陷的总有效率为100%。但早期手术与晚期手术患者有效率(包括治愈与好转)比较P>0.05无显著差异;②手术后对复视恢复的观察早期手术中有效率62%,好转率24%,无效率14%。晚期手术中有效率21%,好转率29%,无效率50%。早期手术与晚期手术总有效率(包括治愈及好转)比较P<0.01有极显著性差异;③术后并发症有1例患者在术后因眶压增高导致视力丧失。结论早期眶壁修补术是治疗眶壁爆裂性骨折的有效方法。
AIM: To explore the therapeutic effect and timing of surgical treatment of orbital blow-out fracture.· METHODS: A total of 76 cases with orbital blow-out fracture were treated by orbit fracture taxis. Patients' diplopia, degree of exophthalmos, ocular movement and surgical complications were examined during the follow-up of 3-12mo.· RESULTS: The total success rate was 100% in treating enophthalmos. The cure rates of early and late surgery were 69% and 69% respectively, and the mend rates of early and late surgery were 31% and 31% respectively. There was no significant difference between the two groups on the success rate (including cure and mend) (P >0.05). As for the diplopia after operation, the cure rates of early and late surgery were 62% and 21%, the mend rates were 24% and 29%, and the failure rates were 14% and 50% in the two groups respectively. There was significant difference between Early Surgery Group and Late Surgery Group on the total success rates (P <0.01). Postoperative complication included vision loss in 1 case because of heightened orbital pressure.· CONCLUSION: Early surgical management is an effective therapy fororbital blow-out fracture.·
出处
《国际眼科杂志》
CAS
2004年第5期955-957,共3页
International Eye Science
