眶壁爆裂性骨折早期影像学诊断及手术适应证的探讨

Early imaging diagnosis and early surgical indications discussion of orbital blowout fracture

随着人们生活、生产方式的改变，眶壁爆裂性骨折的发生率呈逐年上升趋势。近20年来国内外已有许多关于眶壁爆裂性骨折的研究。目前早期对爆裂性骨折的诊断并不困难，公认的早期诊断主要依赖于专科体检和较为客观的CT及三维重建等相关影像学资料的综合评估。眶壁爆裂性骨折发生后其早、晚期并发症多见，若不予处理或未能及时处理，可致不可逆性功能减退、外观畸形，

Summary Orbital blowout fracture（Blow-out fracture of the orbit） is now common maxillofacial trauma frac- tures in a class. Belongs to ophthalmology and otolaryngology cross-disciplinary areas involving a higher current with ophthalmology. Early diagnosis and treatment plan for the development of a lot of controversy exists between each other. This article in order to discuss the indications for early surgery to prevent complications such as enoph- thalmos after injury incidence from the nose eye-related surgery, analyzed the early orbital volume changes by the current advanced imaging and computer software analysis techniques, and discussed the application of endoscopic techniques in the treatment of orbital wall fracture superiority,