Medpor填充物经鼻内镜泪阜切口植入治疗眶内壁骨折的围手术期综合性护理

doi:10.3969/j.issn.2095-378X.2025.02.021

Abstract

Abstract: Objective To explore the perioperative comprehensive nursing of porous high-density polyethylene（Medpor） implant through endoscopic transcaruncular approach in the treatment of medial orbital fracture. Methods A total of 17 patients with medial orbital fracture accompanied by enophthalmos and diplopia admitted from January 2021 to January 2024 were selected. After determining the fracture scope and soft tissue injury degree by imaging, an endoscopic transcaruncular approach was used under general anesthesia to restore depressed orbital contents into the orbit and reconstruct the fracture site by Medpor implant. The postoperative outcomes were evaluated. In the perioperative period, after comprehensive nursing intervention was implemented, patients' anxiety, depression, and life quality scores were compared before and after nursing, and patients' satisfaction with nursing was recorded. Results After operation, diplopia, binocular prominence difference, eye movement grade, and best corrected visual acuity were all significantly improved than those before （P<0.05）, and the treatment effective rate was 94.12%. All patients successfully completed the operation, and no complications such as infection, displacement of implant, or rejection occurred during the follow-up period. The proportions of patients with conjunctival tissue edema and eyelid edema at 3 months after operation were significantly lower than those at 1 week after operation （P<0.05）. After comprehensive nursing intervention in the perioperative period, the SAS score and SDS score of patients after nursing were significantly lower than before （P<0.05）, the quality of life score was significantly higher than before （P<0.05）, and the nursing satisfaction rate was 88.24%. Conclusion Medpor implant through endoscopic transcaruncular approach is effective in the treatment of medial orbital fracture, with high surgical success rate and rare complications. Perioperative comprehensive nursing intervention can relieve patients' anxiety and depression and improve the quality of life, which is worthy of clinical promotion.

Key words: Medial orbital fracture, Endoscopy, Transcaruncular approach, Porous high-density polyethylene （Medpor）, Comprehensive nursing

CLC Number:

R762

LIN Shanshan, CAI Meishi, ZHENG Xiaomin, ZHUANG Liping. Perioperative comprehensive nursing of Medpor implant through endoscopic transcaruncular approach for medial orbital fracture[J]. Surgical Research and New Technique, 2025, 14(2): 190-194.

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Perioperative comprehensive nursing of Medpor implant through endoscopic transcaruncular approach for medial orbital fracture

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