目的探讨眼眶内侧壁—筛骨纸板骨折的CT诊断价值。方法回顾分析32例眼眶内侧壁骨折患者CT资料,所有病例均行常规眼眶轴位,12例行冠状位扫描。结果CT显示骨折线12例,筛骨纸板断裂、内陷20例,同时合并有内直肌肿胀,眶内积气,筛窦积液、积血等间接征象。结论CT,特别是高分辨率CT(HRCT)是诊断眼眶内侧壁—筛骨纸板骨折的较好方法。 Objective To investigate the value of CT in diagnosis of orbital wall - ethmoidal fracture. Methods The CT data of 32 patients with orbital wall fracture were retrospectively analyzed. All patients underwent axial orbital axial fixation and 12 underwent coronal scan. Results CT showed fracture line in 12 cases, fracture of ethmoid cardboard, invagination in 20 cases, combined with rectus muscle swelling, orbital vas deferens, ethmoid effusion, hemorrhage and other indirect signs. Conclusion CT, especially high-resolution CT (HRCT), is a better method to diagnose the medial orbital wall-ethmoid fracture.