摘要
目的评价预成形钛网在眼眶骨折眶壁修复重建中的应用效果。方法 2012年1月1日～7月30日在解放军总医院眼科就诊并接受治疗的眼眶骨折病例27例,该组病例术前均存在眼球内陷、眶壁缺损、骨性眶腔扩大和眶内软组织疝出。术前常规行眼眶水平、冠状位及三维CT检查,应用预成形钛网行眶壁修复重建,术后继续CT检查,以评价眼眶骨折后眶壁重建的准确性和眼球突出度恢复情况。结果术后3月随访,所有病例都成功地实施了眼眶壁的重建,术中术后均未发生严重并发症,85.2%(23/27)的患者眼球内陷矫正在3 mm内。结论应用预成形钛网可比较精确地修复眶壁骨折。
Objective To assess the effect of preformed orbital titanium mesh in the reconstruction of orbital fracture. Method Twenty-seven cases of blow-out orbital fracture were diagnosed in the period from January 2012 to July 2012, all with serious defect of the orbital wall and herniation of the orbital soft tissues. Preformed orbital titanium mesh was grafted to the traumatic orbital walls. Orbital axial and coronal CT and three-dimension CT scan examination were performed routinely in all cases preoperatively and postoperatively to evaluate the postoperative exophthalmos and orbital wall reconstruction. Results All the patients were followed up for 3 months. Orbital wall reconstruction was successfully performed in all cases without serious complications. The postoperative enophthalmos was less than 3 mm in 23 of the 27 cases. Conclusion Preformed orbital titanium mesh allows accurate reconstruction of orbital wall fracture.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2013年第7期1071-1074,共4页
Journal of Southern Medical University
基金
军队十二五面上课题(CWS11J102)
关键词
眼眶骨折
预成形钛网
眼球内陷
enophthalmos
orbital fracture
preformed orbital titanium mesh
