副鼻窦炎对爆裂性眼眶骨折预后的影响

Effect of sinus inflammation on the prognosis of blowout orbital fracture

目的·探索副鼻窦炎对爆裂性眼眶骨折(blowout orbital fracture,BOF)预后的影响。方法·回顾2018年12月—2019年8月在上海交通大学医学院附属第九人民医院眼科接受手术治疗的66例(66眼)BOF患者资料。分为副鼻窦黏膜增厚(sinus membrane thickening,SMT)组48例(48眼)和无副鼻窦黏膜增厚(no sinus membrane thickening,NSMT)组18例(18眼)。观察2组的矫正视力、复视、眼球运动障碍及眼球突出度差值指标,采用χ2检验、单因素方差分析、多元回归方程等统计方法,分析SMT与BOF预后的相关性。结果·NSMT组比SMT组的术后复视和眼球运动障碍程度更轻(均P=0.000)。眼球突出度差值变化、患眼矫正视力变化和SMT均无相关性。结论·副鼻窦炎与BOF术后复视及眼球运动障碍的恢复有相关性。

Objective·To investigate the effect of sinus inflammation on the prognosis of blowout orbital fracture(BOF)patients.Methods·With the retrospective study method,66 BOF patients at Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine from December 2018 to August 2019 were included and divided into sinus membrane thickening group(SMT group,n=48)and no sinus membrane thickening group(NSMT group,n=18).The corrected vision,diplopia,eye movement disorder,and exophthalmia of patients were compared between the two groups.In this study,theχ2 test,one-way analysis of variance and multiple regression equations were used to analyze the correlation between SMT and the prognosis of BOF.Results·Postoperative diplopia and eye movement disorder in the NSMT group compared with the SMT group were milder(both P=0.000).The difference in exophthalmia and changes in corrected visual acuity were not correlated with the thickening of sinus membrane.Conclusion·Sinus inflammation is correlated with the recovery of diplopia and eye movement disorder of BOF.