预成形钛网在眼眶骨折眶壁修复中的应用.pdfVIP

J South Med Univ, 2013, 33(7): 1071-1074 doi 10.3969/j.issn. 1673-4254.2013.07.28 ·1071 · 临床研究 预成形钛网预成形钛网在眼眶骨折眶壁修复中的应用在眼眶骨折眶壁修复中的应用 王兆艳，阴正勤，魏世辉，巩 琰，陈 翔 解放军总医院眼科，北京 100853 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。 关键词：眼眶骨折；预成形钛网；眼球内陷 Application of preformed orbital titanium mesh in reconstruction of orbital fracture WANG Zhaoyan, YIN Zhengqin, WEI Shihui, GONG Yan, CHEN Xiang Department of Ophthalmology, General Hospital of PLA, Beijing 100853, China Abstract: 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. Key words: enophthalmos; orbital fracture; preformed orbital titanium mesh 近年来随着交通发展，车祸增多，眼眶爆裂性骨折 该眼眶预成型钛板对10例单纯眼眶壁骨折进行了修复 发病率逐渐上升，该损伤常导致眼球内陷、复视，影响美 重建，取得了不错的效果，而在国内的应用尚未见报道。 观并造成功能障碍，大多数情况下需要治疗。因该患者 本研究组从2012年1月开始