摘要目的 探讨Medpor填充联合钛网在眼眶爆裂性骨折中疗效.方法 分析眼眶爆裂性骨折20例,均采用手术切开复位,钛网修复,Medpor材料填充,观察所有患者术后眼球内陷、复视、眼球运动、视力等变化,随访时间9～18个月,平均14.5个月.结果 随访期内没有出现Medpor和钛网脱出和排斥现象.所有患眼手术前后视力无下降.术后所有患者眼球内陷症状均得到矫正,双眼突出度基本一致,相差均<2 mm.各方向眼球运动基本到位.18例复视消失,治愈率为90%,1例复视改善但仍存在,1例复视无改善.结论 Medpor联合钛网植入在眼眶爆裂性骨折整复中是一种安全有效的治疗方法.

abstractsObjective To study the efficacy of porous polyethylene(Medpor)plus titanic mesh sheets in the repair of orbital blowout fractures.Methods A total of 20 patients underwent open sargical reduction with the combined usage of Medpor and titanic mesh.And they were followed up for average period of 14.5 months(range:9-18).Results There is no infection or extrusion of medpor and titanic mesh in follow-up periods.There was no instance of decreased visual acuity at post-operation.And all cases of enophthalmos were corrected.The post-operative protrusion degree of both eyes was almost identical at less than 2 mm.The movement of eye balls was satisfactory in all directions.Diplopia disappeared in 18 cases with a cure rate of 90%.1 case improved and 1 case persisted.Conclusion Medpor plus titanic mesh implant is a safe and effective treatment in the repair of orbital blow out fractures.