复合性眶颧颌骨折的急诊整复治疗
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Emergency surgical treatment of orbital-zygomatic-maxilla fracture
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    摘要:

    探讨复合性眶颧颌骨折患者急诊手术治疗效果。 方法:回顾总结2008-05/2010-09急诊收治的31例复合性眶颧颌骨折患者的手术疗效。 结果:患者31例31眼术后随访1~12mo。术后视力提高26例,眼球内陷5例,但均<2mm,复视2例,眶下神经麻痹5例,义眼1例,眼球萎缩1例。CT复查,与健侧相比,无显著性差异。未见植入物感染、移位及脱出。 结论:复合性眶颧颌骨折急诊整复术疗效确切,并发症少。因此,在条件具备的情况下,急诊整复术是治疗复合性眶壁骨折最有效的方法

    Abstract:

    To evaluate the effect of emergency surgical treatment for orbit-zygoma-maxilla fracture(OZMF). METHODS: 31 cases with OZMF treated by emergency surgery from May 2008 to September 2010 were reviewed and summarized, and their surgical effects were analyzed. RESULTS:Totally 31 cases (31 eyes) were followed-up after operation for one to twelve months. The visions were raised in 26 cases. The enophthalmos appeared in 5 cases, all less than 2mm. The diplopia presented in 2 cases. There were 5 cases with inferior orbital nerve anesthesia. The ocular prosthesis was in 1 case. The eyeball atrophy was also in 1 case. According to the computer tomography(CT) examination, there were no significant differences compared with healthful orbit.There were no infection,migration and extrusion of implants. CONCLUSION:Emergency surgical management is an effective means for the OZMF,and the complication is lower. Therefore the emergency surgery is the most effective method for the OZMF under the better conditions.

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王冬兰,张剑,杨笑天,等.复合性眶颧颌骨折的急诊整复治疗.国际眼科杂志, 2012,12(4):788-789.

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  • 收稿日期:2012-01-05
  • 最后修改日期:2012-02-27
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