爆裂性眼眶内壁骨折的手术治疗
Surgical Treatment of Blowout Fractures of the Orbital Medial Wall

目的：分析手术治疗爆裂性眼眶内壁骨折的疗效。方法：回顾性分析我院2022年4月至2023年10月期间住院行手术治疗的40例爆裂性眼眶内壁骨折患者，所有患者均采用结膜切口入路修复骨折，其中22例应用Medpor植入物，18例应用可吸收骨片植入物。记录患者术前、术后6个月的视功能、眼球突出度、复视情况。结果：随访6个月，20例眼球内陷的手术患者得到完全矫正，8例眼球内陷患者术后明显改善，治愈率为71.43% (20/28 × 100%)。24例双眼复视者22例术后得到矫正，2例术后得到改善，治愈率为91.67% (22/24 × 100%)。结论：手术治疗爆裂性眼眶内壁骨折疗效确切，植入Medpor骨片或可吸收骨片安全、有效，经结膜入路修复眶内壁骨折快捷、简便，不遗留皮肤瘢痕，更加美观。
Objective: To analyze the curative effect of surgical treatment of blowout fractures of the orbital medial wall. Methods: A retrospective analysis was performed on 40 patients with blowout orbital medial wall fractures who were hospitalized for surgical treatment in our hospital from April 2022 to October 2023. All the patients underwent conjunctival incision approach to repair the fractures. Among them, 22 patients received Medpor implants and 18 patients received absorbable bone fragment implants. Visual function, ocular prominence and diplopia were recorded before and 6 months after surgery. Results: After 6 months of follow-up, 20 cases of eyeball invagination were completely corrected, 8 cases of eyeball invagination were significantly improved after surgery, and the cure rate was 71.43% (20/28 × 100%). In 24 cases, 22 cases of binocular diplopia were corrected after operation, and 2 cases were improved after operation, the cure rate was 91.67% (22/24 × 100%). Conclusion: Surgical treatment of blowout fractures of the orbital medial wall is effective, implanting Medpor or absorbable bone fragments is safe and effective, and the repair of orbital medial wall fracture through conjunctival approach is quick and simple, without leaving scar, and more beautiful.