47例鼻眶筛骨折的临床分析

The clinical analysis of the manifastation of naso-orbital-ethmoid fractures(47 cases)

目的 初步探讨NOE骨折的临床特点以及CT在骨折诊治中的应用。方法 对 47例NOE骨折进行分析 ,应用Hopkins及Gruss分类法对骨折进行分类。 结果 仅 1例为单纯的NOE骨折 ,其余均合并其他颅面骨折。HopkinsⅠ类为 51侧 ,Ⅱ类为 2 2侧 ,由Gruss分类可见 ,本组NOE骨折多联合单侧或双侧颧上颌复合体 (1 6例 )及LefortⅡ、LefortⅢ骨折 (1 5例 )。结论 本组NOE病例中心骨段整体骨折及其粉碎性骨折但内眦韧带无撕脱这两种情况占大多数。

Objective To analyze the manifastation of naso-orbital-ethmoid(NOE)fractures and clinical application of CT in diagnosis and management of this kind of injuries.Methods The data of 47 patients suffered from NOE fractures were analyzed retrospectively.Based on Hopkins and Gruss classification methods,these cases were classified.Results Isolated NOE injuries are fewer and many of them are components of complex imd-facial fractures.Conclusion Most of the central fragment fractures exist as single-segment injuries or comminuted ones remining external to the medial canthal tendon.Axial and coronal CT can define accurately the position and extent of fractures.