Aoki S, Nagano N, Tanohata K, Matsui K
Department of Radiology, School of Medicine, Yokohama City University.
Rinsho Hoshasen. 1990 Jun;35(6):673-7.
Fifty patients with blow-out fracture were analysed in detail by using CT. Among these cases, 38 and 12 cases were classified as pure type and impure type fractures, respectively. The lesion of pure type noted in five positions of the orbit; floor, roof, medial wall, corner, and floor with medial. The shape of fracture fragments were observed as trap door, punched out, broad and linear in floor type fracture. Herniated ophthalmic muscles were detected in approximately half of the pure type fractures. CT scan plays an important role in the decision to operate on blow-out fracture.
采用CT对50例爆裂性骨折患者进行了详细分析。在这些病例中,分别有38例和12例被归类为单纯型和非单纯型骨折。单纯型病变见于眼眶的五个部位:眶底、眶顶、眶内壁、眶角以及眶底合并眶内壁。在眶底型骨折中,骨折碎片的形状观察为活板门样、冲孔样、宽型和线型。约半数单纯型骨折中检测到眼肌疝出。CT扫描在决定是否对爆裂性骨折进行手术方面起着重要作用。