纯轨道爆裂骨折中双眼视的预测因子:一个14年的回顾性分析
Mohd Ferdaus Isa1, Abd Jabar Nazimi2, Roszalina Ramli2
1Dept of Oral & Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia; Dept of Oral & Maxillofacial Surgery, Hospital Keningau, Jalan Apin-Apin, 89007 Keningau, Sabah, Malaysia.
Journal of stomatology, oral and maxillofacial surgery
|January 14, 2025
概括
3型轨道爆发骨折 (OBFs) 显著预测创伤后双眼视. 骨折特征如大小,部位和肌肉参与是与OBF后视力障碍相关的关键因素.
科学领域:
- 面外科手术 面外科手术
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
背景情况:
- 轨道爆裂骨折 (OBF) 是一种常见的面损伤.
- 滴滴症是常见的并发症,影响患者的生活质量.
研究的目的:
- 研究纯净OBF的临床和放射特征.
- 确定OBF特征与创伤后双眼视的相关性.
- 在纯 OBF 中确定双眼视的预测因子.
主要方法:
- 对70名纯 OBF 患者进行了回顾性横截面研究.
- 分析临床记录和CT扫描 (DICOM格式).
- 评估骨折部位,大小,类型和软组织的参与;用赫斯面积比率百分比 (HAR%) 测量双眼视.
主要成果:
- 机动车辆事故 (MVAs) 导致61.4%的OBF.
- 3型骨折和肌肉软组织接触是常见的.
- 骨折大小,部位,类型和肌肉接触与HAR%显著相关 (p <0.05).
- 3型骨折是双眼视的重要预测因素 (OR 19.80,p < 0.001).
结论:
- 骨折部位,大小,类型和肌肉参与是与双眼视相关的关键因素.
- 3型骨折是纯 OBF 后持续性双眼视 (HAR < 92%) 的首要预测因素.
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