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目的探讨经泪阜入路修复眼眶内侧壁骨折后眼球内陷的手术方法和疗效。方法 2004年9月至2010年3月,收治36例眼眶内侧壁骨折眼球内陷患者。根据术前眼眶水平位及冠状位CT检查,确认眶骨骨折及眶内容物移位情况。术中经泪阜入路修复眼眶内侧壁骨折后的眼球内陷。结果术后除5例改善不明显外,其余患者眼球内陷畸形均获明显改善,皮肤面不遗留手术切口瘢痕。术后患者均获随访,随访时间1年。结论经泪阜人路修复眼眶内侧壁骨折所致眼球内陷,比传统方法更加快捷,术后患者外形更美观。
Objective To investigate the operation method and curative effect of repairing the eyeball invagination through the tear-Fu entry. Methods From September 2004 to March 2010, 36 patients with orbital medial wall fracture were enrolled. According to preoperative orbital level and coronal CT examination, to confirm the orbital fracture and orbital displacement. Intraoperative tears Fu entry approach to repair the orbital wall fracture after the eye retraction. Results In 5 cases after surgery, the improvement was not obvious, the other patients had significant improvement of the capsular retraction deformity, the skin surface without surgical scar incision. All patients were followed up for 1 year. Conclusion The repaired orbital eyeball by the tear Fu Road renovate the eyeball more quickly than the traditional method, postoperative patients look more beautiful.