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作者报告13例眶内汽枪铅弹异物,在岛津1250mA型X线电视系统下,12例成功取出,1例因异物嵌入蝶骨小翼未取出。提出手术要,点,明确诊断和确定异物位置后,选择靠异物方位最近距离,对眶内重要组织无损伤或损伤范围最小处,切开眶缘皮肤约5~10mm,人异物钳,在X线荧屏影象指导下,将包绕异物组织钝性分离,夹取铅弹或将其顶至骨壁后再夹取之。本法简单易行,手术成功率高,值得推广应用。
The author reported 13 cases of orbital lead-bullet foreign body in Shimadzu 1250mA X-ray television system, 12 cases were successfully removed, 1 case of foreign body embedded in the sphenoid wing was not removed. After the operation, the point, the definite diagnosis and the location of the foreign body were proposed, the nearest distance to the foreign body was chosen, the smallest or lesion area of the important orbital tissue was selected. The skin of the orbital rim was cut approximately 5 to 10 mm. Under the guidance of the line screen image, the tissue surrounding the foreign body will be bluntly dissected, and the lead bomb will be taken or the top of the bone will be clamped and then clamped. This method is simple, high success rate of surgery, it is worth promoting application.