眼眶骨折106例治疗分析

Clinical analysis of treatment in 106 patients with orbital fracture

[目的]探讨眼眶骨折的临床特点以及治疗方案的选择。[方法]回顾106例眼眶骨折病例,分析并总结保守治疗及手术治疗方案的选择。[结果]24例患者行眼眶骨折整复术,术后眼球内陷和复视得到了矫正或改善;82例保守治疗,除其中2例有手术适应证但拒绝手术患者外,其余80例均未发生眼球内陷和复视。[结论]眼球内陷及/或双眼复视为眼眶骨折的手术适应证,手术治疗与非手术治疗相互结合可以取得良好效果。

[ Objective] To investigate clinical Characteristics and selection of the treatments of orbital fractures. [ Meth- ods ] One hundred and six cases with orbital fracture treated by conservative or surgical treatments were reviewed and sum- marized. [ Results ] Twenty - four patients with reconstructive surgeries for orbital fractures were respectively analyzed, and their enophthalmos and diplopia were cured. In 82 conservative treated patients, there were 80 patients cured completely, except for 2 patients who should be treated with, but refused the surgery. [ Conclusion] The operative indication is accord- ing to the existence of enophthalmos and/or diplopia. The combination of conservative treatment with surgery can obtain good curative effect.