眶内植物性异物的临床分析

Clinical analysis of intraorbital vegetative foreign bodies

目的分析眶内植物性异物的临床特征及诊治方法。方法回顾性分析该院2001-01～2018-12经手术证实的植物性异物患者19例资料,总结其临床表现、影像学征象、治疗与随访结果。结果 19例患者均有眼睑肿胀,结膜充血,反复流脓,伤口不愈合。19例患者均行CT检查,11例显示异物为低密度伴周围软组织增生,CT征象因异物性质不同而各异。19例患者均行手术取出异物,清除残留碎屑并切除瘘管后治愈。结论眼眶植物性异物具有与金属性异物不同的特点,影像学显示率低,应仔细检查,彻底清除异物,避免伤口迁延不愈,以获得良好的预后。

Objective To summarize the clinical features,diagnosis and treatment of intraorbital vegetative foreign bodies.Methods The data of 19 patients with intraorbital vegetative forein bodies confirmed by surgery from January 2001 to December 2018 were retrospectively analyzed.The clinical manifestations,imaging signs,treatment and follow-up results were summarized.Results All the 19 patients had eyelid swelling,conjunctival congestion,repeated purulence and wound nonunion.CT examination was performed on all the 19 cases,and 11 cases showed low density foreign bodies with peripheral soft tissue hyperplasia.CT signs vary with the nature of foreign bodies.All the 19 patients were cured by surgical removal of the foreign bodies,removal of residual debris and fistula resection.Conclusion Orbital vegetative foreign bodies have different characteristics from metallic foreign bodies,and the imaging display rate is low.For the patients with intraorbital vegetative foreign bodies,careful examination should be carried out to remove the foreign bodies thoroughly,so as to avoid the wound delayed and healing,and obtain a good prognosis.