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目的 分析眶区复杂性骨折的临床特征及评价用移位游离骨片修复眶区复杂性骨折的手术疗效。方法 对 76例眶区复杂性骨折的患者采用移位游离骨片补片术进行整复 ,并进行回顾性研究。结果 76例患者术区软组织均 I期愈合 ,张口受限、眼球内陷全部矫正 ,复视消失。结论 对眶区复杂性骨折 ,在早期处理软组织的同时 ,应采用移位的游离骨片修复眶区复杂性骨折 ,无需再取骨及采用其它异质材料进行修补 ,避免了形成后期难以修复的颌面及眼球的畸形 ,具有良好的临床效果
Objective To analyze the clinical features of complex orbital fractures and evaluate the effect of surgical treatment of complex orbital fractures with free bone fragments. Methods 76 patients with complex orbital fractures were treated with free bone fragment replacement and were retrospectively studied. Results All the 76 cases of soft tissue in operation area were healed in one stage, with limited mouth opening, all the correction of enophthalmos and disappearance of diplopia. Conclusions For complicated complex orbital fractures, complicated fractures of the orbital area should be treated with free bone fragments at the same time as early treatment of soft tissue. There is no need to take bone and repair with other heterogeneous materials to avoid the formation of complicated refractory period Maxillofacial and eyeball deformity, has a good clinical effect