一根2厘米长的钩针，竟然在小陈姑娘的眼眶内呆了16年之久。最让她纳闷的是，这根钩针究竟如何“钻”进去的却不得而知。直到最近一次偶然的就医拍片时，才惊讶地发现左眼眶上缘有异物。第二军医大学附属长征医院眼科专家魏锐利教授日前在这一血管、神经密布的弹丸之地，采用微创手术完整地取出这根已锈迹斑斑的钩针，并且丝毫不损伤病人的视神经。

A piece of 2 cm long crochet,Even in Chen girl eyes inside for 16 years.The most let her wonder,This crochet what"drill"In but unknown.Until recently a pure medical when shooting,Just was surprised to find that the left eye socket flange on a foreign body.The second military medical university hospital affiliated long march ophthalmology expert professor wei sharp has in the blood vessels/Nerve with a tiny area,Complete the minimally invasive surgery to remove this already rusty stains of crochet,And does not damage the patient's optic nerve.

　3岁时眼眶“擦伤” At the age of 3 orbital"scratch"

　　今年19岁读大二的小陈来自安徽，说起这枚钩针是如何“潜入”眼眶内的，小陈的父母说，依稀记得女儿3岁时，一次与小朋友玩耍回家后，发现左眼眶上方皮肤局部轻度浮肿，因没有明显眼红、眼胀、眼痛等不适，几天后浮肿就消退了，所以也没重视，后来也没东西在体内作怪。现在回想起来，可能这次“擦伤”，就是造成钩针在女儿眼眶内“寄存”的主要原因。

Read this year 19 years old sophomore Chen from anhui,Speaking of the pieces of crochet is how"into"Within the orbit,Chen's parents said,Vaguely remember daughter 3 years old,A play with children home,Found above the left eye socket skin local mild edema,Because they had no obvious green eyes/Eye expansion/Eye pain and discomfort,A few days later dropsy will fall away,So also didn't pay attention to,Then don't do things in the body.In retrospect,May be the"scratch",Is cause crochet in daughter in the eye socket"register"The main reason of the.

　　两个月前，小陈在当地医院矫正牙齿拍摄头部X片时，惊讶地发现左眼眶内有异物存在。焦急万分的父母带着女儿四处求诊，均因异物滞留眼眶内时间太久而不敢贸然手术。辗转多家医院后，父母带着女儿慕名来到长征医院眼科求治。

Two months ago,Chen in a local hospital of the teeth head shot X for one hour,Was surprised to find that the left orbital foreign bodies in existence.Worrying about parents took her daughter concerns around,All because of foreign body retention orbit time too long to jump to a surgery.After the hospital,Parents took her daughter came to the long march admiration of hospital QiuZhi eye.

取出后视力无损 Remove the vision

　　经检查会诊，医生在小陈眼睛上缘发现一根长条钩针，针头“斜插”进入额骨，唯一的办法是开刀取出钩针，但由于经过16年的积淀，钩针已经生锈腐蚀，与周围组织粘连；同时因为针头有倒钩，钩子下方还有一个活动的“小门”。贸然拔出可能会把周围神经和血管以及硬脑膜钩伤，造成大出血、眼睛失明以及脑脊液漏，且随时有折断的可能，手术风险很大。

Through inspection consultation,Doctor Chen eyes edge found a strip crochet,needle"Oblique plug"Into the frontal bone,The only way is to go under the knife out crochet,But because after 16 years of accumulation,Crochet have rust corrosion,With the surrounding tissue adhesion;At the same time as needles have barbed,Below the hook and a activity"wicket".Jump to a draw may put the peripheral nerves and blood vessels, and dura mater hook wound,Massive haemorrhage/Eye blindness and cerebrospinal fluid leakage,And the possibility of broken at any time,Operation risk big.

　　为了能安全取出异物，考虑到金属异物在眼眶内的定位比较复杂，且存留时间较长后易与周围脑组织形成粘连，为避免对眼眶及脑组织产生较大创伤，术前，经过三维立体定位、X扫描并生成相应的坐标，对异物实施“精确打击”。术中，魏锐利主任在显微镜下锁定目标后，用显微手术缓缓地在接近筛窦处的肉芽组织中进行剥离，同时保护好周围血管和神经，终于露出了黑褐色的金属异物。经过2个小时手术，一根尖端嵌入颅内的钩针终于被成功取出来了，小陈左眼视力没有受到任何影响。 (首席记者 施捷 通讯员 王根华）

In order to extract the foreign bodies safety,Considering the metal foreign body in orbit within the positioning is more complex,And the remaining time is long easily after with the brain tissue forms adhesion,In order to avoid eyes and brain tissue to generate large trauma,preoperative,After three dimensional orientation/X scanning and generate the corresponding coordinates,Implementation of foreign body"Precision strikes".intraoperative,Wei sharp director under the microscope after target,With microsurgery slowly near the ethmoid sinus in granulation tissue of stripping,At the same time protect the peripheral vascular and nerve,Finally revealed the dark brown metal foreign body.After two hours of surgery,A root tip embedded intracranial crochet was finally successful had taken out,Chen left eye eyesight not affected. (ShiJie chief reporter correspondent WangGenHua)