摘要目的 探索经结膜入路扩大眶腔治疗眼球轻度突出的手术方法,以改善患者外观.方法 采取眼球内侧结膜入路,沿眶内侧壁骨面向深部眶尖处剥离眶内侧壁的筛骨板,深可达2.5～3.0 cm,上下分离骨面宽约2.0～2.5 cm,使筛骨板骨折压缩筛窦扩大眶腔.2006年6月至2008年4月手术3例.结果 3例患者手术均获成功,术后半年随访双侧眼球活动均正常,无复视和视力减退,面部无皮肤瘢痕.结论 眼球内侧结膜入路剥离筛骨板扩大眶腔是治疗眼球轻度突出的有效方法.

abstractsObjective To investigate the treatment of minor exophthalmos by enlargement of orbital volume through conjunctive approach.Methods Through the conjunctive approach medial to the eye ball,the dissection was performed subperiosteumly to expose the ethmoid bone at the medial orbital wall.The exposure bone Was 2.5-3.0 cm in length and 2.0-2.5 cm in width.Then the ethoid bone was fractured to enlarge the orbital volume.From June 2006 to April 2008,3 cases were treated.Results The patients recovered in a short time with no visible skin scar.The technique Was mini-invasive,and didn't affect the function of eyeball.Conclusion It is easy and effective way to correct the minor exophthalmos by enlargement of orbital volume through conjunctive approach.