摘要
目的探讨眼眶内壁联合下壁骨折修复术后cT在手术效果分析中的应用。方法回顾性分析眼眶内壁与下壁骨折伴眼球内陷45例（45眼）的临床资料。术后观察3个月，利用CT影像学技术，分析术后骨折的各边缘点及后隅角的修复、植入钛网的形态特点以及眶腔解剖形态恢复等指标，研究骨折修复与手术效果的相关性。结果眼球内陷均小于2mm，后隅角的修复与眼球内陷缓解程度相关性最强，其次内壁上缘的修复及钛网向眶腔的“内突”形态也与手术效果相关，而骨折下壁外缘的修复与手术效果的相关性最弱。结论通过CT影像学对术后眼眶骨折修复情况的观察，可以指导手术效果的评价。
Objective To investigate the application of CT in analysis of surgical efficacy after medial- inferior orbital wall fracture repair surgery. Methods The date of 45 eyes of 45 cases with medial- inferior orbital wall fracture with enophthalmos were collected and analyzed retrospectively. All cases underwent orbital fracture surgery, the follow-up time was 3 months. Edge points of fracture, repair of bony buttress, morphological characteristic shape of the implanted titanium mesh after surgery were analyzed by CT . The correlation between fracture repair and the surgical efficacy was studied. Results After surgery, the degree of enophthalmos was within 2mm, the repairment of bony buttress was the most important factor for enophthalmos after surgery. Superior margin of medial orbital wall and concave shape of titanium mesh were both relevant to surgical efficacy. The correlation between exterior margine of inferior orbital wall and enophthalmos was small. Conclusion The observation on repair of orbital fracture by CT is evaluated the surgical efficacy.
出处
《中华眼外伤职业眼病杂志》
2017年第10期747-749,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
