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眼眶爆破性骨折的治疗,目前尚有争论。由于外力冲击眶骨,致使眶底产生骨折和骨质缺损,眶内容物可通过裂孔或缺损处形成疝,由于眶内脂肪的损伤、萎缩、眼外肌陷入,以及神经、肌肉的损伤,眼球失去了支撑,即可出现眼球下陷和复视症状。但对本病诊断早期常易漏诊,其原因,可能是由于外伤后眶周和眶内出血、水肿,将其真相掩蔽。本文作者提出:凡外伤7～10天后,有难以解释的眼部症状与体征者应予手术探查。本文报告应用Marlex网和明胶海绵于眼眶爆破性骨折作眼底缺损的修复,共报告86例,其年龄在16～52岁之间;受伤原因多为拳击、车
The treatment of orbital burst fractures, there are still controversial. Due to the external impact of the orbital bone, causing the orbital floor fractures and bone defects, orbital contents can form hernia through the hole or defect, due to orbital fat injury, atrophy, extraocular muscle trauma, and nerve, muscle damage, eyeball Loss of support, there may be eye subsidence and diplopia symptoms. However, the early diagnosis of the disease often easy to missed diagnosis, the reason may be due to traumatic orbital and intraorbital bleeding, edema, the truth to cover. The authors suggest that: Where trauma 7 to 10 days, there are unexplained eye symptoms and signs should be surgical exploration. This article reports the use of Marlex mesh and gelatin sponge in the orbital blowout fracture repair of fundus defects, a total of 86 cases were reported, whose age is between 16 to 52 years of age; the reasons for the injury mostly boxing, car