陆骏麒, 袁一飞. 线性高密度多孔聚乙烯在眼眶骨折手术治疗中的疗效观察[J]. 蚌埠医科大学学报, 2017, 42(8): 1080-1082,1086. DOI: 10.13898/j.cnki.issn.1000-2200.2017.08.021
    引用本文: 陆骏麒, 袁一飞. 线性高密度多孔聚乙烯在眼眶骨折手术治疗中的疗效观察[J]. 蚌埠医科大学学报, 2017, 42(8): 1080-1082,1086. DOI: 10.13898/j.cnki.issn.1000-2200.2017.08.021
    LU Jun-qi, YUAN Yi-fei. Clinical effect of Medpor in the treatment of orbital fracture[J]. Journal of Bengbu Medical University, 2017, 42(8): 1080-1082,1086. DOI: 10.13898/j.cnki.issn.1000-2200.2017.08.021
    Citation: LU Jun-qi, YUAN Yi-fei. Clinical effect of Medpor in the treatment of orbital fracture[J]. Journal of Bengbu Medical University, 2017, 42(8): 1080-1082,1086. DOI: 10.13898/j.cnki.issn.1000-2200.2017.08.021

    线性高密度多孔聚乙烯在眼眶骨折手术治疗中的疗效观察

    Clinical effect of Medpor in the treatment of orbital fracture

    • 摘要: 目的:分析线性高密度多孔聚乙烯(Medpor)外科种植体整复眼眶爆裂性骨折和复合性骨折的临床效果及其特点。方法:对23例病人行高分辨率眼眶CT扫描和三维重建、了解眼眶骨折的部位、大小;用Hertel突眼计测量眼球内陷度数;同视机测量法分析复视情况。以Medpor作为手术主要整复材料,并进行6~12个月随访。结果:术后23例病人随访6个月及以上,其中22例病人眼球内陷>2 mm,21例病人眼球内陷完全矫正(95%);术前14例伴有复视病人,12例复视完全矫正(85%);术前11例病人眼球运动受限,10例恢复正常(90%)。术后2周与术后3个月、6个月眼球凹陷程度、运动受限程度、复视程度差异均有统计学意义(P<0.05)。结论:Medpor作为近年来用于临床的新型整形材料,用于眼眶骨折的整复,能有效矫正中重度眼球内陷及复视。

       

      Abstract: Objective:To investigate the clinical effects and features of Medpor in the repairment of orbital blowout fracture(BOF) and compound fracture.Methods:The position and size of orbital fractures in 23 patients were identified using the high resolution CT scan and 3-D reconstruction.The degree of enophthalmos was measured using Hertel exophthalmometer,the diplopia was analyzed using synoptophore,and Medpor was used as the major orbital grafting material.The patients were followed up for 6 to 12 months.Results:Within the following up for more than 6 months,21 cases(95%) were completely corrected among 22 cases with enophthalmos more than 2 mm,12 cases(85%) were completely corrected among 14 cases with diplopia,and 10 cases(90%) recovered normal among 11 cases with movement limitation of eyeball before operation.The differences of the degrees of enophthalmos,movement limitation and deplopia between the postoperative 2 weeks,3 months and 6 months were statistically significant(P<0.05).Conclusions:As a new plastic surgery material,Medpor can be used to repair the orbital fracture,and effectively correct the moderate to severe enophthalmos and diplopia.

       

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