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眶内异物多为金属性异物,见于弹伤、爆炸伤等,植物性异物比较少见。作者近年曾处理12例,感到诊断和治疗方面都存在一些问题,报道如下。资料分析本文12例均为植物性眶内异物,其中男11例,女1例。年龄1岁至55岁。外份类别:树枝或木竿刺伤6例,电锯事故4例,花炮崩伤2例。异物种类:木块、木条10例,花炮纸皮2例。异物数目1至3块。异物在眶内保留时间:10小时2例,2周至半年6例,1--2年4例。眼部检查:眶部瘘道8例,肿块2例,眶区可见异物2例。X线检查6例,正常4例,眶密度增高1例,骨折1例,均未见异物。A型和B型超声探查5例,正常2例,占位病变2例,眼外肌后部增厚1例,均未发现异物。CT扫描5
Orbital foreign body mostly metallic foreign body, found in the bullet, blast injury, plant foreign body is relatively rare. In recent years, the author has handled 12 cases, feel there are some problems in diagnosis and treatment, reported as follows. Data analysis 12 cases of this article are plant orbital foreign body, including 11 males and 1 female. Aged 1 to 55 years old. External categories: stump or stick stab wound in 6 cases, sawing accident in 4 cases, fireworks collapse in 2 cases. Foreign body types: wood, wood 10 cases, 2 cases of cardboard fireworks. Number of foreign objects 1 to 3 pieces. The retention time of foreign body in the orbit was 2 cases at 10 hours, 6 cases at 2 weeks to 6 months and 4 cases at 1 to 2 years. Eye examination: 8 cases of orbital fistula, mass in 2 cases, 2 cases of foreign body visible in the orbital area. X-ray examination in 6 cases, normal in 4 cases, increased orbital density in 1 case, fracture in 1 case, no foreign body. There were 5 cases of type A and B ultrasonic exploration, 2 cases of normal, 2 cases of space-occupying lesions and 1 case of extraocular muscle thickening. No foreign body was found. CT scan 5