眶爆裂性骨折36例临床诊治分析

目的探讨眼眶爆裂性骨折的临床特点和诊治方法。方法对2000年9月-2004年6月36例（36眼）眶爆裂性骨折的临床资料进行回顾性分析。结果致伤原因为拳击伤18例，车祸伤15例，其它3例。眼部临床症状和体征主要有复视、眼球运动障碍及眼球内陷等。CT检奁均有阳性发现。术后复视治愈32例。32眼眼球活动度完全改善，4眼部分改善。术后伤眼眼球突出度增至10．5，15．0mm，平均13．5mm；术后伤眼与健眼眼球突出度差为＋1．5--2．0mm，平均＋1．0mm。术后无并发症发生。结论CT扫描对眼眶爆裂性骨折的诊断有重要价值。术后早期进行眼球运动训练对提高复视的治愈率、改善眼球的运动功能有重要作用。

Analysis on 36 cases of orbital blowout fracture

Objective To study the clinical characteristics of the orbital blowout fracture and the diagnostic and therapeutic methods.Methods We reviewed the clinical data of 36 cases(36 eyes) with orbital blowout fracture in our hospital between September 2000 to June 2004. Results 18 cases resulted from hits on the eyes,15 cases from traffic accidents.The patients usually presented diplopia,limitation of eye movement,and enophthalmos.CT scan confirmed the lesion of the eye.Postoperatively,diplopia disappeared in 32 cases and ductions were normal in 32 cases,improved in 4 cases.The protrusive degree of the affected eye reached 10.5 to 15mm(averaged 13.5mm) and the protrusive difference between the two eyes was +1.5 to-2.0mm(averaged +l.0mm).There were no complications after operation.Conclusion CT scan plays an important role in diagnosis of orbital blowout fracture.The exercise of eye movement in the early stage after operation can reduce the diplopia and improve the movement function of the globe.