第29卷第4期
川北医学院学报
Vol 29 No 4
2014年8月
JOURNAL OF NORTH SICHUAN MEDICAL COLLEGE
Aug.2014
doi:10.3969/j.issn.1005-3697.2014.04.14
◆论著今
不同修复材料在眼眶爆裂性骨折中的应用
程时富,查蕾蕾,李小明,李澜,陈文学
(阆中市人民医院眼科,四川间中637400)
摘要】目的:观察不同的修复材料在眼胝爆裂性骨折中矫正眼球内陷及复视的效果。方法:对眼眶爆裂性骨折患者68
例,采用
羟基磷灰石复合体或 MEDPOR外科种植体修复眼眶壁爆裂性骨折,观察不同的修复材料在术后对眼球内陷的修复效
果以及复视的缓解情况。结果:68例患者中采用羟基磷灰石复合体修复30例,其中眼眶下壁骨折12例,眼眶内侧壁骨折18
例。术后随访3个月至1年,1例眼眶内陷矫正欠佳;1例复视仅部分矫正;2例出现轻度下险外翻。采用 MEDPOR外科种植
体修复38例,其中眼眶下壁骨折13例;眼眶内侧壁骨折25例;术后2例眼球内陷矫正欠佳;1例轻度下睑外翻。两组其余病
例眼球内陷及复视均得到修复,经统计学分析差异无统计学意义(P>0.05)。使用修复材料未发现其他并发症。结论:羟基
磷灰石复合体和 MEDPOR外科种植体均是修复眼眶爆裂性骨折较理想的材料,修复效果好,并发症少。
关键词】眼眶;爆裂性骨折;修复;羟基磷灰石复合体; MEDPOR外科种植体
文章编号】1005-3697(2014)040375-04【中图分类号】R764.7【文献标志码】)A
Different restorative materials in the application of orbital blowout frac
ture
CHENG Shi-fu, ZHA Lei-lei, LI Xiao-ming, LI Lan, CHEN Wen-xue
Department of Ophthalmology, Langzhong Peoples Hospital, Langzhong 637400, Sichuan, China)
(Abstract] Objective: To observe the correction effect of different repair materials in orbital blowout fracture of enophthalmos and di-
plopia. Methods: Hydrox apatite complex or MEDPOR surgical implants were used respectively to repair of orbital blowout fracture wal
in 68 patients with orbital blowout fracture, and observe diferent repair mater als in postoperative for relief of the repair effect of noph-
thalmos and diplopia. Results: Hydroxyapatite complex is used to repair of orbital fracture in 30 cases, including fracture with orbital
medial walls in 12 cases and 18 cases with orbital inferior walls. Postoperative following-up lasted 3 months to 1 year, 1 case of orbital
correction invagination, 1 case of diplopia only partially correct and 2 cases with mild ectropion; MEDPOR surgical implant restoration is
performed in 38 cases, including fracture with orbital medial walls in 13 cases and 25 cases with orbital inferior walls.2 cases showed
postoperative enophthalmos correction and 1 case is of mild ectropion. Two sets of the other remaining cases with enophthalmos and di-
plopia were fixed; there was no significant difference ased on statistics analysis(P> 0.05).No complications are found of using re-
storative materials. Conclusion: The hydroxyapatite complex and MEDPOR surgical implants are ideal materials for repairing orbital
blowout fracture, and the effect is good with fewer complications
I Key words Orbit; Blowout fracture; Repair; Hydroxyapatite complex; The MEDPOR surgical implants
眼眶骨折在眼眶外伤中非常多见川,眼眶爆裂并发症。早期诊断并积极治疗眼眶爆裂性骨折
性骨折是眼科较严重的眼外伤,爆裂性眶壁骨折造可以避免眼部的严重并发症。近年来眼眶爆裂性骨
成眶容积增大,组织嵌顿,导致眼球内陷以及复视等折修复的相关报道很多,大多采用羟基磷灰石复合
收稿日期:2014-03-31
作者简介:程时冨(1966-),男,四川间中人,副主任医师,主要从事眼科疾病方面的研究工作。E-mail:1768552063@qq,com
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