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目的 :探讨筛骨纸板击出性骨折程度的分级标准及其治疗方法。方法 :对 10 8例纸板击出性骨折的临床情况进行分析 ,分级 :Ⅰ级 71例 ,Ⅱ级 33例 ,Ⅲ级 4例 ,分别采取不同的处理方法。结果 :对无复视的Ⅰ级 4 3例未行特殊治疗 ,有复视的Ⅰ级 2 8例行保守治疗 ,治愈率为 92 .9% (2 6 / 2 8) ;对保守效果不佳的Ⅰ级 1例 ,Ⅱ、Ⅲ级共 34例行手术治疗 ,治愈率为 88.2 % (30 / 34)。不愿接受手术的Ⅱ、Ⅲ级患者共 4例给予保守治疗 ,治愈率为2 5 % (1/ 4 )。结论 :对纸板击出性骨折进行分级 ,这对判断病情、选择治疗方法均有很高的参考价值 ,对较严重的击出性骨折行鼻内窥镜下手术疗效较满意
Objective: To investigate the grading standards and the treatment of the degree of striking fracture of ethmoidal cardboard. Methods: The clinical data of 108 cases of striking fracture of cardboard were analyzed. The grading was grade Ⅰ in 71 cases, grade Ⅱ in 33 cases and grade Ⅲ in 4 cases. Different treatment methods were adopted respectively. Results: There was no special treatment for 43 cases of grade Ⅰ without diplopia and 28 cases of grade Ⅰ 28 with diplopia. The cure rate was 92.9% (26/28). The conservative effect was not good Ⅰ grade in 1 case, Ⅱ, Ⅲ grade 34 cases were treated surgically, the cure rate was 88.2% (30/34). A total of 4 patients in grade Ⅱ and grade Ⅲ who did not want surgery were given conservative treatment, with a cure rate of 25% (1/4). CONCLUSION: Grading of the cardiopulphurial fracture of the cardboard has a high reference value for judging the condition and selecting the treatment method, and is more satisfactory for the treatment of the more serious fracture with endoscopic sinus surgery