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颧骨骨折的眼科长期影响(作者译)

[Ophthalmological long-term effects of malar fractures (author's transl)].

作者信息

Schiffer H P, Austermann K H, Busse H

出版信息

Klin Monbl Augenheilkd. 1977 Oct;171(4):567-70.

PMID:592647
Abstract

In the years 1964 to 1974 138 patients with malar fractures were treated by operation. After follow-up examination on an average of 3 years and 10 months after the operations the occuring complications in 61 patients were revealed. On the first stationary admission to hospital 14 patients complained of diplopia; on the follow-up examination only 5 paresiae were found. On the first examination after the accident 35 patients had hypoaesthesiae, anaesthesiae or paraesthesiae in the area of supply of the ophthalmic and maxillary nerves. It is remarkable that in the follow-up examination 29 patients complained still of these disturbances. Perforating injuries were not found in these patients. 2 patients had however traumatic macular foramina. 2 further patients had partial optic atrophy, a result of fracture in the region of the optic canal.

摘要

1964年至1974年间,138例颧骨骨折患者接受了手术治疗。术后平均随访3年10个月,发现61例患者出现并发症。首次入院时,14例患者主诉复视;随访检查时仅发现5例麻痹。事故后首次检查时,35例患者在眼神经和上颌神经支配区域有感觉减退、感觉缺失或感觉异常。值得注意的是,随访检查时仍有29例患者主诉这些障碍。这些患者未发现穿孔伤。然而,有2例患者有外伤性黄斑裂孔。另有2例患者因视神经管区域骨折导致部分视神经萎缩。

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