国际眼科杂志Issue(11)：2085-2087,3.DOI:10.3980/j.issn.1672-5123.2014.11.50
经结膜爆裂性眼眶骨折修补术的手术时机
Operation time of transconjunctival approaches Medpor reconstruction for orbital blowout fractures
李超 1郑波涛 1李斌 1徐庆1
作者信息
- 1. 215021 中国江苏省苏州市，上海交通大学医学院附属苏州九龙医院眼科
- 折叠
摘要
Abstract
AIM: To investigate the operation time, effect and complication of transconjunctival approaches for orbital blowout fractures Medpor reconstruction.
<br> METHODS: Twenty-one patients with orbital blowout fractures were performed transconjunctival approaches for orbital blowout fractures Medpor reconstruction from 2010 to 2014. All the patients were divided into the early operation group ( 12 cases ) and the late operation group (9 cases) based on the treatment time and followed up for 3 ~ 12mo. The diplopia, exophthalmos, sensory disturbance degree of infraorbital nerve and complications, effectives of the operation were analyzed and compared.
<br> RESULTS: The cure rate of diplopia was 76. 2% (16/21), 83. 3% (10/12) in the early operation group and 66. 7% (6/9) in the late operation group with statistical difference ( P<0.05). The cure rate of enophthalmos was 81. 0% (17/21), 83.3% ( 10/12 ) and 77. 8% ( 7/9 ) in the early and later operation group, without statistical difference (P>0. 05). T the cure rate of sensory disturbance degree of infraorbital nerve was 57. 1% (12/21), 58. 3% (7/12) vs 55. 6% (5/9) (P>0. 05). No operation complications were observed.
<br> CONCLUSION: Medpor reconstruction with transconjunctival approaches is safe, simple and reliable for patients with orbital blowout fractures. Early operation treatment should be performed in two weeks when conservative treatment was not useful.关键词
爆裂性眼眶骨折/手术时机/手术入路/MedporKey words
orbital blowout fracture/operation time/surgical approach/Medpor引用本文复制引用
李超,郑波涛,李斌,徐庆..经结膜爆裂性眼眶骨折修补术的手术时机[J].国际眼科杂志,2014,(11):2085-2087,3.
