经睑结膜入路手术治疗陈旧性眶底骨折

摘要

Objective: To assess the treatment results of the transconjunctival approach for the reduction of old orbital floor fractures. Methods: 8 patients with old orbital flnor fractures were operated by using a transconjunctival approach under generai anesthesia. The fraclured orhital floor was reconstructed with orbital floor titanium mesh plate in all cases. Results: All patients with enophtbaJmos were restored into normal position. Eyeball movement disorders were recovered satisfactorily. 2 cases of conjunctival chemosis appeared early postoperation and subsided after management. Conclusion: The transconjunctival approach provides access to orbital floor and has no visible scar. It gives a good aesthetic result. Complications of this surgical approach to the orbital are known to be rare.%目的:探讨经下睑结膜入路手术治疗陈旧性眶底骨折的治疗效果.方法:陈旧性眶底骨折经结膜切口入路,用网状眶底接骨钛板眶底重建.结果:8位患者的眼球内陷和眼球运动障碍都得到纠正,除2例术后早期有结膜水肿,经治疗后消退外,8例术后切口均恢复良好,没有瘢痕遗留,疗效满意.结论:睑结膜入路提供了足够的手术视野,术后不留瘢痕,美观效果好,并发症较少,特别是对美观要求较高的患者,是处理陈旧性眶底骨折的有效方法之一,值得推广.