单纯性眶壁爆裂骨折的临床分析

许雯; 赵传亮; 金玲; 葛荣明

doi:10.13201/j.issn.1001-1781.2015.05.010

单纯性眶壁爆裂骨折的临床分析

- 上海同济大学附属同济医院耳鼻咽喉科(上海, 200065)

详细信息

通讯作者: 葛荣明,E-mail:rongmingge@sina.com

中图分类号: R762

收稿日期: 2014-11-06

Clinical analysis of simple orbital blowout fracture

- Department of Otolaryngology, Tongji Hospital, Tongji University, Shanghai, 200065, China

More Information

Corresponding author: GE Rongming, E-mail: rongmingge@sina.com

Received Date: 06 November 2014

摘要

摘要: 目的: 探讨单纯性眼眶爆裂性骨折的临床特点和诊治方法。方法: 回顾性分析16例单纯性爆裂性眼眶骨折患者的CT影像学资料,分析骨折的部位、程度、形态及特点。16例眶壁骨折患者中,2例保守治疗,11例行鼻内镜下眶壁骨折修复术,3例行鼻内镜联合上颌窦根治手术。结果: 16例复视患者中,13例治愈,3例好转;11例眼球内陷患者中,10例治愈,1例欠矫;15例眼球运动障碍患者中,13例眼球运动完全正常,2例眼球运动基本正常。患者视力均有不同程度的提高,无并发症发生。结论: CT扫描对单纯性眶壁爆裂骨折的诊断有重要价值,鼻内镜联合上颌窦根治手术是治疗眶壁骨折的有效方法。
- 眶爆裂骨折 /
- 眼球内陷 /
- 复视 /
- 鼻内镜手术 /
- X线计算机 /
- 体层摄影术
Abstract: Objective: To discuss the clinical features and treatment methods for simple orbital blowout fracture.Method: Retrospective analysis of the CT images of 16 orbital blowout fracture case,and identification of the sites,degree,patterns and features of fractures.Among the 16 cases,2 cases adopted conservative treatment;11 cases gained a reduction of orbital fracture through endoscopic transnasal surgery;the other 3 patients choosed endoscopic transnasal surgery and Caldwell-Luc operations.Result: Among 16 diplopia cases,13 cases were completely cured,and 3 patients' vision were significantly improved.Among 11 enophthalmos cases,10 patients were cured,and the effect of the other one was not satisfied.Among the 15 eye movement disorder cases,13 patients' eye movement gained a full recovery,and the other 2 cases were nearly normal.All patients' vision were improved in different extents,and no one got a complication.Conclusion: Computerized Tomography is helpful to the diagnosis of simple orbital blowout fracture. Caldwell-Luc operation with transnasal endoscope is an effective method for the treatment of orbital fractures.
- orbital blowout fracture /
- enophthalmos /
- diplopia /
- endoscopic transnasal surgery /
- X-ray computed /
- tomography

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