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目的评价采用下睑缘切口治疗眶内、下壁联合骨折的效果。设计回顾性病例系列。研究对象18例眶内、下壁联合骨折的患者。方法所有患者均经下睑缘切口行眶壁骨折整复术,术中充分游离、保护泪囊,于眶内、下壁浅面植入复合羟基磷灰石人造骨片,术前、术后行双眶水平及冠状位CT、头面部三维cT检查并进行比较。主要指标临床症状及并发症。结果术后随访3～18个月,所有患者下睑皮肤瘢痕不明显,术后均未出现人造骨片排异或移位,无一例患者术后出现溢泪,复视、眼球内陷等症状均得到改善。结论单独采用下睑缘切口治疗眶内、下壁联合骨折是可行的,但仅适于眶下壁联合眶内壁下份骨折,尤其是伴发眶内、下壁隅角骨折的复合型骨折。
Objective To evaluate the effect of lower eyelid incision in the treatment of orbital and inferior wall fractures. Design retrospective case series. The study included 18 patients with orbital and inferior wall fractures. Methods All patients underwent eyelid incision orbital wall fracture repair, free surgery to protect the lacrimal sac, orbital, inferior wall of the surface of the composite hydroxyapatite artificial bone chip implantation, preoperative and postoperative Line double orbital level and coronal CT, head and face three-dimensional cT examination and comparison. The main indicators of clinical symptoms and complications. Results All cases were followed up for 3 to 18 months. All the patients had no obvious scar on the lower eyelid. No abnormal or displaced bone fragments were found in any postoperative patients. No patient had symptoms of overflowing tears, diplopia and enophthalmos Have been improved. Conclusions It is feasible to use the lower eyelid incision alone to treat the intraorbital and inferior wall joint fractures. However, it is only suitable for the suborbital wall combined with the suborbicular fractures, especially the compound fractures with orbital and inferior wall corners fractures.