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目的 研究颌面部损伤波及眶骨骨折导致眼功能障碍的早期治疗方法。方法 颌面外科医师与眼科医师联合,对颌面部外伤合并眶骨骨折16例患者,采取不同的手术入路,对眶骨及眶内容物进行早期复位。并与既往颌面外科常规处理的21例相同患者进行比较。结果 16例观察组外伤康复后遗留3项眼部功能障碍。21例对照组外伤康复后有24项眼部遗留症状,两组比较P<0.01。结论 两科医师联合处理颌面外伤,对眼球视功能的恢复具有早期治疗的重要意义。
Objective To study the early treatment of maxillofacial injuries and orbital bone fractures leading to eye dysfunction. Methods Combined maxillofacial surgeons and ophthalmologists, 16 patients with maxillofacial trauma complicated with orbital fractures were treated with different surgical approaches to early reposition the orbital and orbital contents. And compared with the same patients in 21 cases routinely treated by previous maxillofacial surgery. Results In the observation group of 16 cases, 3 items of ocular dysfunction were left after trauma rehabilitation. There were 24 items of left eye symptom in 21 cases of control group after trauma rehabilitation, P <0.01 in both groups. Conclusion The combination of two physicians in the treatment of maxillofacial trauma has an important role in the early treatment of ocular visual function.