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眼球运动障碍是眶壁骨折的常见临床症状。本文分析眼球运动障碍的175例眶壁骨折的CT资料。结果显示眼球垂直方向运动障碍最多103例,由眶上壁或/和眶下壁骨折引起,其中下壁占95.15%,多为中后段骨折,眶内组织脱出严重。水平方向运动障碍35例,由眶内壁或/和眶外壁骨折引起,其中内壁占77.14%,但眶内组织脱出相对较轻,骨折范围大。混合方向运动障碍30例,主要见于内、下壁同时骨折。眼球固定7例,见于眶尖综合征,多伴颅脑外伤。对上述结果进行了分析讨论。
Eye movement disorders are common clinical symptoms of orbital fractures. This article analyzes the CT data of 175 orbital fractures of eye movement disorders. The results showed that up to 103 cases of vertical eye movement disorders caused by the fracture of the supraorbital wall and / or infraorbital wall, which accounted for 95.15% of the lower wall, mostly in the fracture, orbital tissue prolapse. Horizontal motion disorders in 35 cases, caused by the orbital wall or / and orbital wall fracture, which accounted for 77.14% of the inner wall, but relatively less orbital tissue prolapse, a wide range of fractures. Mixed direction of movement disorders in 30 cases, mainly seen in the lower wall fracture at the same time. Eye fixation in 7 cases, found in the orbital apex syndrome, mostly with craniocerebral injury. The above results were analyzed and discussed.