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Analysis of influencing factors of prognosis of patients with open eye injury with orbital fracture |
ZHANG Miao DONG Haili ZHANG Fangni PANG Rui▲ |
Ward Two, Department of Ophthalmology, Tangdu Hospital, Air Force Medical University, Shaanxi Province, Xi’an 710043, China |
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Abstract Objective To investigate the prognostic factors of patients with open eye injury with orbital fracture. Methods Sixty-six patients with open eye injury with orbital fracture in Tangdu Hospital, Air Force Military Medical University from January 2020 to January 2021 were selected as the research objects, and they were divided into poor prognosis group (25 cases) and good prognosis group (41 cases) according to different prognosis. The clinical data of the two groups were compared. Logistic regression model was used to analyze the prognostic factors of patients with open eye injury with orbital fracture. Results The proportion of age<60 years old, the proportion of no intraocular foreign body, the proportion of no intraorbital, external, and superior bone wall fractures, and the proportion of eye trauma rating of 3-5 at the time of treatment in the poor prognosis group were lower than those in the good prognosis group, and the proportion of non-blunt trauma was higher than that in the good prognosis group, the differences were statistically significant (P<0.05). The results of multivariate analysis showed that age, cause of injury, foreign body in the eye, fracture site, and evaluation grade of eye trauma at the time of treatment were all factors influencing the prognosis of patients with open eye injury and orbital fracture (P<0.05). Conclusion By analyzing the prognostic factors of patients with open eye injury with orbital fracture, this study provides a reliable theoretical basis for improving the clinical therapeutic effect and prognostic recovery of this disease.
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[1] 王兆伟,魏宗强,姜文静,等.针对性手术入路对眼眶深部海绵状血管瘤近中期预后的影响[J].中国现代医学杂志,2021,31(24):89-93.
[2] 张新玮,王英爽.早期应用MedporTitan+Medpor与可吸收板治疗眼眶骨折疗效比较研究[J].临床军医杂志,2020, 48(3):349-351.
[3] 运霜,李亚楠.眼眶肿瘤摘除手术的并发症及术后预后的影响因素分析[J].实用癌症杂志,2022,37(4):583- 585.
[4] 王娟,庞润晖,李妍,等.眼眶骨折植入性整复术后感染的病原学特征以及影响因素分析[J].中国病原生物学杂志,2020,15(10):1214-1217.
[5] 朱佳玮,韩江洲,周忠友.眼眶骨折继发急性细菌性鼻窦炎伴面部脓肿一例[J].眼科,2021,30(2):129-130.
[6] 周丽娟,付晶,周军,等.头盔式眼球运动训练系统在眼眶骨折术后患者康复训练中的应用[J].中华眼科医学杂志(电子版),2020,10(2):116-122.
[7] 刘伟,刘韶瑞,施沃栋,等.可吸收眶底板在眼眶骨折手术中的应用[J].国际眼科杂志,2020,20(1):181-185.
[8] 刘伟,林明,施沃栋.可吸收眶底板在儿童Trapdoor眼眶骨折修复术中的应用[J].国际眼科杂志,2021,21(8):1482- 1485.
[9] 孙光瑞,郑晓龙,贺玲,等.开放性眼球损伤伴眼眶骨折患者预后影响因素分析[J].社区医学杂志,2020,18(19):1329-1332.
[10] 李佳.精细化护理干预在眼眶骨折患者术中的应用[J].实用防盲技术,2020,15(4):180-181.
[11] 袁庆越,庄艾,宋雪霏,等.副鼻窦炎对爆裂性眼眶骨折预后的影响[J].上海交通大学学报(医学版),2020,40(10):1398-1401.
[12] 宋维贤.眶壁骨折的诊断与治疗[J].眼科,2002,11(4):196-198.
[13] 陈谷,缪洪城,荣红辉,等.Ⅰ类手术切口患者术后医院感染特征及影响因素分析[J].中华医院感染学杂志,2019,29(20):3125-3128.
[14] 唐耀冰,邢艳巧,郝娟,等.前路开眶治疗眼眶肿瘤的效果观察[J].癌症进展,2021,19(1):59-61.
[15] 陈小虎,郑璇,陈坤福. 经鼻入路内镜切除前眼眶良性肿瘤的近远期疗效观察[J].中国肿瘤临床与康复,2021, 28(6):719-722.
[16] 李立锋,臧洪瑞,韩德民,等.经鼻内镜下眼眶肌锥内间隙的解剖入路研究[J].中国耳鼻咽喉头颈外科,2020, 27(2):63-66.
[17] 严劼,胡竹林.改良结膜入路眼眶内下壁减压术治疗轻中度甲状腺相关眼病的临床效果[J].眼科新进展,2019, 39(11):1067-1070.
[18] 郭晓会,王兆艳,王斌,等.25例眼眶淋巴瘤的临床特点及预后分析[J].解放军医学院学报,2020,41(5):457- 461.
[19] 廖洪斐,余进海,胡长青,等.三维打印联合手术导航及内镜在眼眶骨折整复术中的应用[J].中华眼科杂志,2019, 55(9):658-664.
[20] 余进海.眼眶肿瘤治疗技术新进展[J].中华实验眼科杂志,2020,38(11):983-988.
[21] 任慧文,段炼,史小涛,等.可吸收内固定材料治疗关节周围骨折的手术技巧[J].中国老年学杂志,2016,36 (21):5388-5390.
[22] 李志强,刘桂琴,祝天辉,等.伴或不伴下直肌箝闭的trapdoor眼眶骨折的临床特征[J].眼科新进展,2016,36(10):953-956.
[23] 张沧霞,郑艳霞,王义军,等.眼眶骨折168例临床分析[J].眼科新进展,2014,34(9):849-851.
[24] 郑永欣,赵海燕,景遐斌,等.可吸收性复合材料修复羊眼眶下壁缺损的实验研究[J].中华眼科杂志,2006,42(6):535-539.
[25] 王兆艳,阴正勤,魏世辉,等.预成形钛网在眼眶骨折眶壁修复中的应用[J].南方医科大学学报,2013,33(7):1071-1074. |
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