在患有旧爆发骨折的患者中,眼部受伤是由于形创伤而引起的
1Department of Ophthalmology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Korean journal of ophthalmology : KJO
|January 8, 2025
概括
旧的轨道骨折可能会保护眼睛免受来自重创伤的新伤害. 患有先前爆裂骨折的患者明显减少了眼内并发症,这表明有保护作用.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 医疗成像医学成像
背景情况:
- 轨道骨折,特别是爆裂骨折,是面部重创伤的常见后果.
- 对于临床管理来说,了解患有先前存在的轨道损伤的患者中反复出现的重创伤的后果至关重要.
研究的目的:
- 调查以前遭受新的重创伤的爆裂骨折患者眼睛损伤的频率和临床特征.
- 为了确定是否先前存在的轨道骨折提供了对随后的眼睛创伤的保护.
主要方法:
- 对568名患者进行了回顾性审查,其中581名患者的眼睛受到影响,他们经历了眼创伤.
- 患者被分为两组:通过CT扫描识别的具有和没有先前存在的轨道骨折的患者.
- 使用后勤回归分析,评估眼损伤的风险与之前的轨道骨折相关,对年龄和性别进行控制.
主要成果:
- 140只眼睛 (24.1%) 属于患有先前爆裂骨折的患者.
- 眼内并发症的发病率明显低于先前存在的骨折组 (2.1%) 与没有骨折组 (20.4%).
- 特殊并发症,如血,球裂和玻璃体出血,在先前有轨道骨折的患者中发生的频率明显低.
结论:
- 预先存在的轨道骨折与随后的重创伤后明显降低眼睛损伤的风险有关.
- 这些发现表明,旧的爆发骨折可能有保护作用,可以防止严重的眼睛创伤.
- 这些结果强调了考虑先前的轨道创伤史在管理面部重复伤害风险的患者时的重要性.
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