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目的:探讨眶上壁骨折的诊断和治疗。方法:回顾分析15例眶上壁骨折的临床病例资料。结果:临床表现为眶上区瘢痕、眼球运动障碍和眼球移位的构成分别为86.7%、66.7%和53.3%;脑脊液漏和视力减失构成分别为26.7%和33.3%。无移位骨折及症状轻的移位骨折采取保守治疗;症状明显的移位骨折采取经颅或经眶复位骨折片,修复脑膜的手术。结论:眶上区瘢痕、眼球运动障碍和眼球移位是眶上壁骨折的常见临床表现;骨折片移位的程度和临床表现是眶上壁骨折选择治疗方法的依据。
Objective: To investigate the diagnosis and treatment of supraorbital fracture. Methods: A retrospective analysis of 15 cases of supraorbital fracture clinical cases. RESULTS: The clinical manifestations of supraorbital scar, ocular motility disorder and ocular displacement were 86.7%, 66.7% and 53.3% respectively. Cerebrospinal fluid leakage and visual loss were 26.7% and 33.3%, respectively. No displacement fractures and mild symptoms of displaced fractures to take conservative treatment; obvious symptoms of displaced fractures to take transcranial or periorbital fracture fractures, repair of meninges surgery. CONCLUSIONS: Supraorbital scars, ocular motility disorders and ocular displacement are common clinical manifestations of supraorbital fractures. The extent and clinical manifestations of fractured disc displacement are the basis for selection of supraorbital fracture.