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目的 :对爆裂性眶壁骨折手术治疗进行评价、研究 ,以改进手术 ,提高疗效。方法 :对 35 2例眶壁骨折整复术进行统计分析。结果 :术后观察平均 6 .5个月 ,复视改善率 10 0 % ,手术距受伤时间越短 ,复视消失越快 ,眼球内陷治愈率 92 .8% ,人造骨无一例排异。结论 :眶壁骨折整复术安全有效 ,手术应及早进行。人造骨作为修复充填材料 ,优于医用硅胶。严重的眼球内陷 ,术中应过矫 2 mm以上。
OBJECTIVE: To evaluate and study the surgical treatment of ruptured orbital fracture to improve the operation and improve the curative effect. Methods: 352 cases of orbital fracture surgery for statistical analysis. Results: The average postoperative observation was 6.5 months. The improvement rate of diplopia was 100%. The shorter the duration of operation from injury, the faster disappearance of diplopia. The cure rate of intraocular retraction was 92.8%. There was no exception in artificial bone. Conclusion: The orbital fracture surgery is safe and effective, and surgery should be performed as soon as possible. Artificial bone as a repair filling material, better than medical silicone. Serious eye retraction, surgery should be over correction 2 mm or more.