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[摘要]
目的:探讨被动牵拉试验在眼眶爆裂性骨折修复手术中的应用。
方法:回顾分析28例眼眶爆裂性骨折手术患者,在手术前、手术中、手术后应用被动牵拉试验,观察术前、术后3,6mo的复视情况。
结果:患者28例术后复视明显好转,术前、术后3,6mo复视程度两两比较,有显著性差异(P<0.05)。
结论:被动牵拉试验在眼眶爆裂性骨折的术前诊断和判断预后上有一定的临床意义,在术中和术后应用可改善眼球运动,减轻复视。
[Key word]
[Abstract]
AIM: To discuss the application of forced traction test in surgeries for orbital blowout fracture.
METHODS: The clinical data of 28 patients with reconstructive surgeries for orbital fracture were retrospectively analyzed. All patients were treated with forced traction test before/in/after operation. The eyeball movement and diplopia were examined and recorded pre-operation, 3 and 6mo after operation, respectively.
RESULTS: Diplopia was improved in all 28 cases with forced traction test. There was significant difference between preoperative and post-operative diplopia at 3 and 6mo(P<0.05).
CONCLUSION: Forced traction test not only have a certain clinical significance in diagnosis of orbital blowout fracture, it is also an effective method in improving diplopia before/in/after operation.
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