眼眶内植物性异物14例患者的临床研究

目的:分析眶内植物性异物14例患者的临床影像学特征及手术方法。方法:回顾性分析我院眼科2010-01/2019-04收治的眼眶植物性异物外伤的14例14眼患者资料,总结其临床表现、影像学特征、手术方法。结果:选取的14例14眼患者均在术中取出植物性异物。14眼患者眼眶CT三维重建检查,9眼显示异物为低密度伴周围软组织炎性反应。CT影像因异物性质不同表现各异,软质异物无特征性CT影像。外伤后手术切口Ⅰ期愈合,有不同程度的伤口瘢痕形成。结论:眶内植物性异物性质特殊,术前充分准备,制定个体化手术方案,对术中完整取出异物、降低手术难度十分重要。

Clinical study on 14 cases of intraorbital organic foreign bodies

AIM: To analyze the clinical imaging characteristics and surgical methods of intraorbitalorganic foreign bodies.

METHODS: The materials of 14 patients(14 eyes)with orbital organic foreign bodies from January 2010 to April 2019 in our hospital were retrospectively analyzed, then to summarize their clinical features and imaging characteristics and surgical methods.

RESULTS: It had been proved that all of foreign bodies removed from 14 patients''s(14 eyes)were organisms. There were 9 patients''s(9 eyes)foreign bodies were found with low density and inflammatory response in soft tissue around of 14 patients by orbital three-dimensional reconstruction computed tomography(CT). CT images showed different manifestations due to different properties of foreign bodies, and soft foreign bodies had no characteristic images. Drainage strips were placed after removed foreign bodies. After the operation, the incision healed in the first stage and scar formed.

CONCLUSION: Due to the complexity of orbital organic foreign bodies, it is important to make presurgical preparation sufficient and surgical plan individualized for remove the foreign body completely and reduce the difficulty of the surgery.