方法：选择2013-03/2014-04我院收治的眼眶骨折患者57例60眼，按照随机数表法将患者分为观察组29例30眼和对照组28例30眼。观察组给予微型钛板塑形内固定整复术治疗； 对照组患者给予羟基磷灰石复合人工骨板的内固定治疗。在治疗前、治疗后1、3mo比较两组患者的复视分级、眼球运动障碍分级情况以及治疗后的并发症情况(脱出、移位、感染)。

结果：两组患眼均为Ⅰ期愈合，均无瘢痕形成。观察组与对照组患者术后1mo的复视分级为0级的比例分别为63%与40%，观察组在术后1，3mo的复视分级，术后1、3mo的眼球运动障碍分级的疗效均优于对照组，两组比较有统计学意义(P<0.05)。观察组与对照组患者的并发症发生率分别为3%与20%，观察组的不良反应发生率低于对照组，差异具有统计学意义(P<0.05)。

结论：微型钛板塑形内固定整复术治疗眼眶骨折患者的临床疗效良好，能提高治疗效果，且可以减少不良反应发生率。

METHODS: Fifty-seven cases(60 eyes)with orbital fracture from March 2013 to April 2014 in our hospital were researched. According to the random number table method, the patients were divided into observation group(29 cases with 30 eyes)and control group(28 cases with 30 eyes). The control group was treated with hydroxyapatite artificial bone plate for internal fixation, and the observation group with titanium mini plate internal fixation and reconstructive surgery. The diplopia grading, grading of ocular movement disorder before and at 1, 3mo after treatment and postoperative complications(prolapse, dislocation, infection)were compared between the two groups.

RESULTS: In both group, all the 60 eyes were healed without scar formation. The rate of diplopia grading as grade 0 1mo postoperatively of observation group and the control groups were 63% and 40%(P<0.05); diplopia grading 3mo postoperatively and the eye movement barrier obstructs 1 and 3mo postoperatively of observation group were better than those of the control group(P<0.05). The adverse reaction rate of observation group and control group were 3% and 20%(P<0.05).

CONCLUSION: The clinical curative effect of titanium mini plate internal fixation and reconstructive surgery has a good effect for orbital fractures, which can improve the therapeutic effect and reduce the incidence of adverse reactions.