不同植入物在眼眶骨折修复中的应用

Application of different implants in orbital fracture

眼眶骨折是外伤性疾病常见的眼眶并发症,部分需要行眼眶骨折修复手术治疗。不同材料的植入物,是影响手术效果和预后的重要因素之一。植入物的选择国内外至今尚未有统一的标准。目前临床上使用的植入材料多为异质材料,有不可吸收材料和可吸收材料两类。不可吸收材料使用最多的是钛网和高密度多聚乙烯(Medpor)。可吸收材料主要是各类高分子聚合物。这两类材料在临床的使用过程中都表现出了不同的优缺点,通过查阅近5年的相关报道,对比这两类材料的优缺点,可以为临床医生的选择提供一些参考。

Orbital fracture is a common orbital complication of traumatic diseases,and some of them need to be treated by orbital fracture repair surgery.Implants of different materials are one of the important factors affecting the surgical outcome and prognosis.There is no uniform standard for the selection of implants at home and abroad.At present,most of the implant materials used in clinical practice are heterogeneous materials,including non-absorbable materials and absorbable materials.The most commonly used non-absorbable materials are titanium mesh and high-density polyethylene(Medpor).Absorbable materials are mainly all kinds of macromolecular polymers.These two types of materials have shown different advantages and disadvantages in clinical.By reviewing the relevant reports recent 5 years,and comparing the advantages and disadvantages of these two types of materials,we can provide some references for clinicians to choose from.