摘要
目的 探讨眼眶爆裂性骨折的临床表现和治疗。方法 经CT确诊爆裂性眶骨折 8例 ,其中内侧壁骨折 5例 ,下壁骨折 2例 ,内侧合并下壁骨折 1例 ,手术治疗 3例 ,非手术治疗 5例 ,临床主要表现为眼球内陷、复视和眼球运动障碍。CT显示眶壁骨折移位 ,眶腔扩大 ,眶内软组织嵌顿和副鼻窦损伤。结果 非手术治疗和手术治疗病例全部临床治愈。结论 眼眶爆裂性骨折引起的眶壁骨组织破坏导致眼眶组织解剖异常 ,CT可以显示眶壁结构破坏和眶组织及副鼻窦损伤的变化 。
Aim To study clinical profiles and diagnosis of blow out fractures.Methods Among 8 cases with blow out fractures were diagnosed by CT (5 cases with medical fractures,2 cases with floor fractures and 1 cases with both medical anel floor fractures. 3 cases were treated with surgery and 5 cases without surgery. The main clinical findings were enophthalmos, diploia and abnormal eye movements. CT findings were displacement of the orbital wall ,enlargment of the orbital volume,soft tissure trauma and damage in accessory sinuses of nose. Results Case with surgery and without surgery were all clinical cured. Conclusion We conclude that the indication of surgery depends on the degrees of the fractures and the soft tissure's damge, including the extraocular muscles and the important nerves in orbit.
出处
《安徽医药》
CAS
2004年第5期356-357,共2页
Anhui Medical and Pharmaceutical Journal
关键词
眼眶爆裂性骨折
CT
blow out fractures of the orbital wall
CT
