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目的 :探讨眼眶内壁骨折的治疗方法及其效果。方法 :对 34例眼眶内壁骨折患者 ,10例行鼻内窥镜手术治疗 ,另 2 4例行经鼻外径路手术治疗并进行疗效比较。结果 :经鼻内窥镜手术、鼻外径路手术治疗的总有效率分别为 90 .0 %、91.6 % ,两者差异无显著性意义 (P >0 .0 5 ) ,但前者的优点明显多于后者。结论 :鼻内窥镜手术治疗眶内壁骨折具有无面部切口、低创伤、视野清晰、能同时清除鼻窦病变、便于手术后复查等优点 ,是治疗本病最为适用的方法。
Objective: To investigate the treatment of orbital wall fracture and its effect. Methods: 34 patients with orbital wall fracture, 10 patients underwent endoscopic sinus surgery, the other 24 patients underwent nasal surgery and the efficacy of treatment. Results: The total effective rate of nasal endoscopic surgery and nasal approach was 90.0% and 91.6%, respectively, with no significant difference (P> 0.05), but the former had more advantages In the latter. Conclusion: Nasal endoscopic surgery for the treatment of orbital wall fracture with no facial incision, low trauma, clear vision, can clear sinus lesions at the same time, easy to review after surgery, etc., is the most suitable method for the treatment of this disease.