| 1例眼眶爆裂性骨折患者的循证治疗 |
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| 引用本文： | 葛轶睿,石尧,蒋峰,丁莉莉,黄振平.1例眼眶爆裂性骨折患者的循证治疗[J].中国循证医学杂志,2010,10(2):220-222. |
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| 作者姓名： | 葛轶睿 石尧 蒋峰 丁莉莉 黄振平 |
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| 作者单位： | 南京军区南京总医院眼科,南京,210002 |
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| 摘 要： | 目的针对一例眼眶爆裂性骨折患者,检索当前最佳证据,为临床治疗提供参考。方法针对提出的临床问题,全面检索Cochrane图书馆网络版（2009年第1期）、ACPonline、NGC（1998～2009年3月）、PubMed（1950年1月～2009年2月）及CBM（1994～2009年2月）,获取与儿童眼眶爆裂性骨折手术适应症、手术时机及眼眶植入物相关的系统评价及临床随机对照试验,如无高级别证据,则逐级降低证据等级以获得相关文献。结果最终纳入12篇文献,多为回顾性分析或专家意见。眼眶爆裂性骨折的手术适应症包括眶内物的嵌顿、眼球运动受限、复视、眼球退缩及临床不能自行缓解的眼心反射;尤其是儿童患者出现眶内物嵌顿,为显著手术指征。眼眶爆裂性骨折手术时机无明确定论,大多数文献认为儿童宜在5天内手术,成人半月内手术,但对于早期无法及时手术者,晚期手术仍是可选择的方式。钛网及聚对二氧环已酮（PDS）两种眼眶植入物,后者优于前者。结论眼眶爆裂性骨折循证证据级别较低,应用须慎重,个体治疗应紧密结合临床。
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| 关 键 词： | 眼眶爆裂性骨折 手术适应症 手术时机 循证治疗 |
Evidence-Based Treatment for A Patient with Orbital Blow-out Fractures |
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| GE Yi-rui,SHI Yao,JIANG Feng,DING Li-li,HUANG Zhen-ping.Evidence-Based Treatment for A Patient with Orbital Blow-out Fractures[J].Chinese Journal of Evidence-based Medicine,2010,10(2):220-222. |
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| Authors: | GE Yi-rui SHI Yao JIANG Feng DING Li-li HUANG Zhen-ping |
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| Institution: | GE Yi-rui,SHI Yao,JIANG Feng,DING Li-li,HUANG Zhen-ping Department of Ophthalmology,Nanjing General Hospital of Nanjing Military Comm,,Nanjing 210002,China |
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| Abstract: | Objective To provide references for clinical management of patients with orbital blow-out fractures.Methods Evidence was retrieved from The Cochrane Library online(Issue 1,2009),ACP online,NGC(1998 to March 2009),PubMed(January 1950 to February 2009),and CBM(1994 to February 2009).The collected evidence was then graded.Results After preliminary research,we identi ed 12 relevant articles:either retrospective studies or comments from specialists.They studied orbital soft tissue entrapment,diplopia,enophthalmo... |
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| Keywords: | Orbital blow-out factures Surgery index Surgery time Evidence-based treatment |
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