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目的；回顾性分析49只眼球破裂伤，讨论眼球破裂伤的CT表现、CT分型及其临床意义，进一步提高正确诊断率，指导临床治疗．方法：49只证实的眼球破裂伤，79％的患者在1d内行CT检查．常规轴位扫描，层厚3mm，层间距3mm，矩阵256×256；用骨窗和软组织窗条件分析眼眶骨质和眼球结构．结果：眼环一处断裂占32％，二处断裂占20％，多处断裂占28％．眼环增厚至5mm的10只、6mm的24只、7mm的9只；20％眼球增大，32％眼球缩小；14只眼前房加深＞4mm；83％合并球内存有异物；28％患眼突出，75％合并副鼻窦、眼眶骨折或脑挫裂伤；据CT表现结合临床处理将眼球破裂分为三型，重度破裂已无法修复，无复明希望，应行眼球摘除术，而轻、中度破裂均可行清创修复．结论：CT检查是确定有无眼球破裂和估价破裂程度的最好方法之一，并可为临床处理提供重要依据．
Objectives; Retrospective analysis of 49 cases of ocular rupture, discuss the CT manifestations of ocular rupture, CT classification and its clinical significance, to further improve the correct diagnosis rate, to guide clinical treatment. METHODS: Forty-nine confirmed ocular lacerations and 79% of patients underwent CT scans on day 1. Conventional axial scanning, layer thickness 3mm, layer spacing 3mm, matrix 256 × 256; with orbital window and soft tissue window conditions analysis of orbital bone and eyeball structure. Results: Eye ring fracture accounted for 32%, two fractures accounted for 20%, multiple fractures accounted for 28%. Eye ring thickened to 5 mm 10, 6mm 24, 7mm 9; 20% of the eye increased, 32% of the eye reduction; 14 eyes anterior deepened> 4mm; 83% with ball memory foreign body; 28% of patients Eye prominent, 75% merged paranasal sinuses, orbital fractures or brain contusion; According to CT findings combined with clinical treatment will be divided into three types of ocular rupture, severe rupture has been unable to repair, hopeless, should be enucleated, and light, Moderate rupture are feasible debridement repair. Conclusion: CT examination is one of the best ways to determine the presence or absence of ocular rupture and evaluate the degree of rupture, and may provide an important basis for clinical treatment.