爆裂性眼眶骨折修复手术前后眼外肌功能变化的临床特点分析

摘要

目的 探讨爆裂性眼眶骨折修复手术前后眼外肌功能变化的临床特点.方法 对2014年1月到2016年1月期间诊治的爆裂性眼眶骨折修复术患者中抽取84例作研究对象,对其术前、术后半年的复像检查结果进行回顾性分析,研究爆裂性眼眶骨折患者修复术后的眼外肌功能变化临床特点.结果 ①眶内壁骨折、眶下壁骨折、眶内下壁骨折患者在修复术后半年眼外肌功能限制解除情况分别为85.16%、90.32%、84.42%,其组间对比无统计学差异(P >0.05);②伤后3周内行修复术治疗者的眼外肌解除情况优于伤后3周以上行手术者,其组间对比均存在统计学差异(P <0.05或P<0.01).结论 复像可用于不同类型爆裂性眼眶骨折患者术前、术后的眼外肌情况检查中,在患者伤后3周内行修复术治疗的临床效果更佳,可见其眼外肌恢复效果与手术时间相关,而分析爆裂性眼眶骨折修复术后的眼外肌功能变化特征,对于患者术后眼外肌恢复效果有指导意义.%Objective To investigate the changes in extraocular muscle function after repair of burst orbital frac-ture.Methods 84 cases of exploratory orbital fractures treated during the period from January 2014 to January 2016 were retrospectively analyzed,and the diplopia was compared between pre-and post-operation.Results 1)In patients with or-bital wall fracture,infraorbital wall fracture and inferior orbital wall fracture,the restoration rate of extraocular muscle func-tion was 85.16%, 90.32% and 84.42%, respectively.There was no significant difference between the groups(P >0.05).2)The function of extraocular muscle was better in patients received treatment within 3 weeks than in those who re-ceived treatment more than 3 weeks after the fracture(P<0.01).Conclusion Examination for diplopia can be used in before and after treatment to evaluate the function of extraocular muscle.Treatment within 3 weeks result better extraocular muscle function in orbital fracture patients.