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探讨爆裂性眶壁骨折的临床表现、ＣＴ所见和治疗手段，经ＣＴ确诊的爆裂性眶壁骨折１８例，其中内侧壁型１４例，下壁型２型，内侧合并下壁型２例。非手术治疗１３例，手术治疗５例。临床主要表现为眼球内陷、复视和眼球运动障碍。ＣＴ显示眶壁骨折移位，眶腔体积增大，眶组织嵌顿和副鼻窦损伤。非手术治疗１３例，全部临床治愈，手术治疗５例，３例临床治愈，２例好转。结论：爆裂性眶壁折引起眶壁骨组织破坏导致眼眶组织解剖异常，ＣＴ可以显示眶壁结构破坏和眶组织及副鼻窦损伤的变化。是否手术治疗取决于骨折的程度和对眶内组织损伤的影响
To explore the clinical manifestations of popliteal orbital fracture, CT see and treatment, CT-confirmed ruptured orbital fracture in 18 cases, including 14 cases of medial wall type, inferior wall type 2, the medial merger of the inferior wall in 2 cases. Non-surgical treatment in 13 cases, surgical treatment in 5 cases. Main clinical manifestations of eye retraction, diplopia and eye movement disorders. CT showed orbital fracture displacement, orbital volume increases, orbital tissue incarceration and paranasal sinuses injury. Non-surgical treatment of 13 cases, all clinical cure, surgical treatment in 5 cases, 3 cases of clinical cure, 2 cases improved. CONCLUSION: Bursting orbital wall fracture causes orbital bone tissue destruction leading to anatomic abnormalities of the orbital tissue. CT can show the destruction of orbital wall structure and the changes of orbital tissue and paranasal sinuses. Whether surgical treatment depends on the degree of fracture and the impact on orbital tissue injury