眼眶骨折138例CT影像分析

CT imaging analysis in 138 cases with orbital fractures

目的:对眼眶骨折进行CT检查分析,以提高临床诊断水平。方法:对颌面部外伤伴眼眶骨折的138例患者的145只眼CT检查结果进行研究分析。结果:眼眶骨折以眶内壁、眶外壁骨折最多见,且以多壁骨折为主。145只眼中发生单壁骨折51例(35.17%),双壁骨折48例(33.10%),三壁骨折31例(21.38%),四壁骨折15例(10.35%)。结论:颌面部外伤大多存在复杂的眼眶骨折,应将CT列为常规检查方法。

PURPOSE: To investigate CT findings of orbital fractures in maxillofacial injuries in order to improve clinical diagnostic accuracy. METHODS:CT findings of 138 cases (145 orbits) with orbital fractures in maxillofacial injuries were analyzed. RESULTS:In maxillofacial injuries, orbital fractures of medial and posterolateral walls were most common,which often showed multiple walls fractures. In 145 orbital fractures, there were single wall fractures in 51 cases (35.17%), two-wall fractures in 48 cases (33.10%), three-wall fractures in 31 cases(21.38%) and four-wall fractures in 15 cases (10.35%).CONCLUSIONS:There were complex orbital fracture in maxillofacial injures, CT examination is a very important tool for diagnosis,which should be applied routinely.