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Treatment for pediatric orbital blowout fracture
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- Author:
- No author available
- Journal Title:
- INTERNATIONAL EYE SCIENCE
- Issue:
- 10
- DOI:
- 10.3969/j.issn.1672-5123.2012.10.69
- Key Word:
- 眼眶骨折;儿童;"trapdoor"骨折
Abstract： 目的:探讨儿童眼眶爆裂性骨折的临床表现及治疗方法.方法:选取2008-03/2010-10儿童眼眶爆裂性骨折患儿12例12眼,分析其临床表现,并早期进行手术治疗.结果:患者12例大部分为摔伤后出现眼下壁骨折、下直肌嵌顿,表现为复视,CT表现为"泪滴征".12例均早期实施手术.手术后12例复视均明显改善.其中6例于术后1wk上转逐渐恢复到位;4例于术后3mo内恢复;2例6mo内仍有上转不到位,其牵拉试验为阳性.结论:儿童爆裂性骨折多表现为下壁的裂隙性骨折,表现为眼球运动受限和复视,眼球内陷少见;外伤及手术都容易造成肌肉损伤,早期手术治疗对于肌肉功能的恢复有重要意义.
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