摘要
目的探讨内镜在眼眶深部植物性异物摘出术中的临床应用价值。方法术前行眼眶CT或MRI冠状和水平扫描准确定位,应用硬性内窥镜沿异物窦道或皮肤切口进入眶内,沿异物长轴方向夹取异物。结果 5例眼眶异物均成功摘出,同时在内窥镜下清除窦道内肉芽及坏死组织,手术后伤口均一期愈合,无手术并发症。结论应用内镜取眼眶深部异物损伤小,恢复快,异物容易取尽无残留。
Objective To discuss the clinical application val- ue of endoscope on extraction of deep orbital vegetal foreign body. Method The preoperative orientation of the deep orbital vegetal foreign bodies was located on the coronal and axial orbital CT or MRI scan. The orbital deep foreign bodies were removed by the endoscope along the orbital foreign bodies＇ major axis direction through the fistula or skin incision. Results The operations were successtul in all five patients. The granuloma and necrotic tissue were removed under the endoscope. The wounds were healing by first intention with out surgical complications. Conclusion Application of the endoscope for removing deep orbital foreign bodies has little injury, quick recovery and easy maneuver without residues.
出处
《眼外伤职业眼病杂志》
2010年第8期577-578,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
眼眶深部植物性异物
内镜
手术
deep orbital vegetal foreign body
endoscope
surgery
