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眼球钝伤常并发眶底骨折,有关此类骨折的手术修复时机尚有争议。争论焦点为眶底骨折诊断的准确度和判定骨折伴发软组织的损伤程度。作者介绍了上颌窦内窥镜在眶底骨折诊断中的应用,并与CT扫描结果进行比较。 研究对象和方法 临床检查和轴向CT检查中怀疑眶底骨折的患者7例,内窥镜检查前,所有病例均行眼科检查,包括视力、眼内压、眼球内陷程度。内窥镜检查前24h内做冠状CT检查,扫描间隔为3mm。并根据冠状CT扫描结果,决定手术与否。 1％利多卡因在尖牙窝相应唇颊沟处做局部浸润
Blunt eye injuries often complicated by orbital fracture, the timing of surgical repair of such fractures is controversial. The focus of the debate is the accuracy of the diagnosis of orbital floor fractures and determine the extent of injury with soft tissue. The authors describe the application of maxillary sinus endoscopy in the diagnosis of orbital floor fractures, and CT scan results were compared. Subjects and methods Clinical examination and axial CT examination of patients suspected of orbital floor fracture in 7 cases, before endoscopy, all cases underwent eye examinations, including visual acuity, intraocular pressure, ocular collapse degree. Endoscopic 24 hours before coronary CT examination, scanning interval of 3mm. And based on the results of coronary CT scan, decide whether to surgery or not. 1% lidocaine in the canine fossa corresponding lip cheek groove at the local infiltration