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鼻内窥镜下经筛窦治疗爆裂性眶内壁骨折

The treatment of blow-out orbit fracture by endoscopic transethmoid-sinus approach

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【作者】 邵献国陈国庆

【Author】 Shao Xianguo;Chen Guoqing(Chinese Arch Otolaryngol Head Neck Surg,From the Department of Otolaryngology,People’a Hospital of Neihuang County,Henan Province,Neihuang 456300)

【机构】 河南省内黄县人民医院耳鼻咽喉科!456300

【摘要】 目的:探讨鼻内窥镜下经筛窦治疗爆裂性眶内侧壁骨折的可行性。方法:在鼻内窥镜下采用经筛窦术式治疗16例爆裂性眶内侧壁骨折病人,对其疗效进行分析。结果:随访0.5~1.0年,16例病人14例治愈,2例好转。结论:鼻内窥镜下经筛窦径路治疗爆裂性眶内侧壁骨折方法可行,不须做颜面部切口,视野清晰,不增加眶内新的损伤,术后反应轻,恢复快。

【Abstract】 Sixteen patients of blow-out orbit fracture were treated by endoscope transethmoid sinus approach in our department from August, 1996 to April, 1999. There were 14 males and 2 females,ranging in age from 18 to 42 years old. The orbit fracture was diagnosed by CT scan. The causes of fracture were pugilism in 11,road accident in 2,stick damage in 2 and foot kick injury in 1. Results showed that the cure rate was 87. 5 % (14/16),effective rate was 100.0% (16/16) during follow-up on 0. 5~ 1.0 year.The advantages of this surgical procedure were no facial incision,clear operative visual field,mild normal tissue damage and fast recovery.

【关键词】 眶骨折内窥镜术外科.手术
【Key words】 Orbital fracturesEndoscopySurgery,operative
  • 【分类号】R779.1
  • 【被引频次】8
  • 【下载频次】47
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