ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (4): 298-300.doi: 10.3969/j.issn.1674-3865.2018.04.007

• 临床研究 • 上一篇    下一篇

可吸收材料治疗儿童Trapdoor眶壁骨折的临床疗效

唐霞，仝慧娟，邱峰   

  1. 276400 山东 临沂，临沂市中心医院周围血管病科(唐霞)；110000 沈阳，沈阳医学院护理学院(仝慧娟)；110000 沈阳，沈阳市第四人民医院眼科(邱峰)
  • 出版日期:2018-08-25 发布日期:2018-12-03
  • 通讯作者: 仝慧娟，E-mail：hjtong1116@126.com
  • 作者简介:唐霞（1981-），女，主管护师。研究方向：儿童眼外伤的诊治及护理
  • 基金资助:
    沈阳市科技基金指导项目（18-014-4-79）

Clinical effect of absorbable material in the treatment of children with Trapdoor suborbital fracture

TANG Xia,TONG Huijuan,QIU Feng   

  1. Linyi Central Hospital,Linyi 276400,China
  • Online:2018-08-25 Published:2018-12-03

PDF (PC)

112

摘要：
目的
探讨采用可吸收材料治疗儿童Trapdoor眶壁骨折的疗效。
方法
2015年3月至2017年3月沈阳市第四人民医院眼科收治Trapdoor眶壁下骨折患儿69例，分析总结患儿手术前后视功能、复视、眼球运动情况、眼球突出度以及行眼眶CT扫描结果。并进行为期6个月随访，指导患儿术后眼肌训练。
结果
术后6个月患眼复视消失59例，正前方阅读位无复视或周边残留少量复视7例，正前方阅读位残留复视3例。无患儿复视及眼球运动受限加重。所有患儿术后双眼突出度差异在2 mm内，1例患儿形成永久眶下神经损伤。所有患儿术后均未出现排斥、感染等不良反应。
结论
早期应用可吸收材料治疗及术后眼肌功能锻炼，儿童Trapoor眶壁骨折患儿恢复状况良好。

关键词: Trapdoor眶壁下骨折, 手术, 可吸收材料, 儿童

Abstract:
Objective:
To study the effect of absorbable material in the treatment of Trapdoor suborbital fracture in children.
Methods:
A total of 69 children with Trapdoor suborbital fracture were treated in Shenyang Fourth People's Hospital from Mar. 2015 to Mar. 2017. The clinical data of these children before and after surgery were analyzed and summarized, including visual function, ambiopa, eye movement, degree of ocular proptosis, and the CT results of orbit. A 6month followup was conducted to instruct the children to do eye muscle training.
Results:
After 6 months of treatment, ambiopa disappeared in 59 cases; there was no ambiopa in the front reading position or only a little residual ambiopa existed in the surrounding area in 7 cases; there was residual ambiopa in the front reading position in 3 cases. There was no exacerbation in ambiopa or the eye movement limitation in all the children. The difference in the degree of ocular proptosis of both eyes were within 2 mm in all the child patients. One child had permanent suborbital nerve damage. No children had rejection or infection after surgery.
Conclusion:Early use of absorbable material in the treatment of children with Trapdoor suborbital fracture and eye muscle training after surgery result in good recovery of children.

Key words: Trapdoor suborbital fracture, Surgery, Absorbable material, Child