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目的 对陈旧性眶骨骨折、外观畸形、有功能障碍的病人进行外科矫治 ,探讨最佳手术方法并积累经验。方法 视病人具体情况 ,手术分别采取发际切口或睑下缘切口及柯 -陆手术入路。松解嵌顿组织 ,恢复正常解剖关系 ,不能恢复者采用自体髂骨充填矫正 ,并以固定。结果 对 13例陈旧性眶骨骨折病人进行手术 ,术后病人外形恢复 ,眼球活动正常 ,复视消失。结论 对陈旧性眶骨骨折病人的外科矫治 ,要注意 2点 :一是入路合理 ,二是一定要矫正畸形的解剖形态 ,这是保证术后外形和功能恢复的关键。
Objective To treat the patients with old orbital bone fracture, deformity appearance and dysfunction, discuss the best surgical methods and gain experience. Methods Depending on the patient’s specific circumstances, surgery were taken to cut the hairline or eyelid margin incision and Ke-land surgery approach. Loose incarcerated tissue, to restore normal anatomy, who can not be recovered using autologous ilium filling correction, and to fixed. Results Thirteen patients with old orbital fracture were surgically treated. The shape of the patient recovered and the eye movement was normal and the diplopia disappeared. Conclusions Two points should be paid attention to in the surgical treatment of old orbital fractures: First, the approach is reasonable; second, it is necessary to correct the anatomy of the deformity, which is the key to ensure the postoperative shape and function recovery.