眼眶爆裂性骨折的临床分析  

Clinical Analysis on Orbital Blowout Fracture

作　　者：陈彧[1] 赵庆新[1] 秦云凤[1] 郎玉静[1] 

机构地区：[1]新乡市中心医院眼科,新乡市453000

出　　处：《医药论坛杂志》2008年第10期36-37,共2页Journal of Medical Forum

摘　　要：目的探讨眼眶爆裂性骨折的临床特点和诊治方法。方法对89例89眼眼眶爆裂性骨折患者的致伤原因、临床表现及治疗方法进行回顾性分析。结果经CT扫描证实为眼眶爆裂性骨折的89例患者,致伤原因最常见于拳伤(57.3%),其次为车祸(20.2%)、脚踢伤(11.2%)、钝物撞击伤(9.0%)、坠落伤(2.2%)。所有患者均有眼睑肿胀瘀血、视力不同程度下降;骨折面积大可出现眼球内陷;合并外直肌嵌顿可出现眼球运动障碍、复视;前房积血、视网膜震荡、黄斑出血等少见。结论眼眶爆裂性骨折临床表现多种多样易被误诊,CT扫描对眼眶爆裂性骨折的诊断具有诊断价值。Objective To study the clinical characteristics, diagnostic and therapeutic methods of the orbital blowout fracture. Methods The data of the 89 patients with orbital blowout fracture confirmed by CT scan were analyzed. Results the causes of disease were hitting on the eyes （57.3%） ,car accidents （20.2%） ,kicking on the eyes （ 11.2% ） ,hitting on the eyes by dull instruments （9.0%） and falling （2.2%）. All patients had swollen and stagnant eyelids, different degrees of vision reduction, and some of them had big fracture areas with enophthalmos, strangulation of rectus lateralis muscle with limitation of eye movement, diplopia;hyphema, retinal turbulence, and macular hemorrhage et al were seldom observed. Conclusion The characteristics of orbital blowout fracture are very complicated so that it is easy to misdiagnosed, orbital blowout fracture, and it is a useful standard and CT scan plays an important role in diagnosis of to diagnose this disease.

关 键 词：眼眶爆裂性骨折 临床特点 回顾性调查 

分 类 号：R779.12[医药卫生—眼科]