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[Medpor联合钛网植入物修复眼眶爆裂性骨折]

[Medpor plus titanic mesh implant in the repair of orbital blowout fractures].

作者信息

Han Xiao-hui, Zhang Jia-yu, Cai Jian-qiu, Shi Ming-guang

机构信息

Department of Ophthalmology, Affiliated Second Hospital, Wenzhou Medical College, Wenzhou 325027, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2011 May 10;91(17):1181-3.

PMID:21756771
Abstract

OBJECTIVE

To study the efficacy of porous polyethylene (Medpor) plus titanic mesh sheets in the repair of orbital blowout fractures.

METHODS

A total of 20 patients underwent open surgical reduction with the combined usage of Medpor and titanic mesh. And they were followed up for average period of 14.5 months (range: 9 - 18).

RESULTS

There is no infection or extrusion of medpor and titanic mesh in follow-up periods. There was no instance of decreased visual acuity at post-operation. And all cases of enophthalmos were corrected. The post-operative protrusion degree of both eyes was almost identical at less than 2 mm. The movement of eye balls was satisfactory in all directions. Diplopia disappeared in 18 cases with a cure rate of 90%, 1 case improved and 1 case persisted.

CONCLUSION

Medpor plus titanic mesh implant is a safe and effective treatment in the repair of orbital blow out fractures.

摘要

目的

研究多孔聚乙烯(Medpor)联合钛网片修复眼眶爆裂性骨折的疗效。

方法

20例患者采用Medpor联合钛网进行开放手术复位,并进行平均14.5个月(范围:9 - 18个月)的随访。

结果

随访期间Medpor和钛网无感染或外露情况。术后无视力下降病例。所有眼球内陷病例均得到矫正。术后双眼突出度几乎相同,相差小于2mm。眼球各方向活动满意。18例复视消失,治愈率为90%,1例改善,1例持续存在。

结论

Medpor联合钛网植入是修复眼眶爆裂性骨折的一种安全有效的治疗方法。

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