目的：探讨内窥镜辅助下眼眶骨折手术整复效果。

方法：回顾性分析2013-08/2016-08期间入我院就诊的眼眶骨折患者800例800眼，按照手术方式不同分为两组。其中354眼行鼻外径路手术，纳入对照组； 446眼行内窥镜辅助下眼眶骨折手术，纳入观察组。所有患者均完成术后6mo随访，观察患者术后临床疗效、复视分级、眼球凹陷改善情况，并评估患者术后随访对颜面部外形美观满意度。

结果：术后3mo观察组总有效率为92.8%，对照组为90.4%(P>0.05)； 两组患者术前复视分级情况无差异(P>0.05)，术后1mo观察组复视0级患者占70.9%，对照组占66.7%(P>0.05)； 术后6mo观察组复视0级所占比例显著高于对照组(97.1% vs 76.0%，P<0.05)。术前组间眼球内陷深度比较无差异(P>0.05)； 术后1mo眼球内陷深度≤1cm者：观察组占89.5%，对照组占85.9%(P>0.05)； 术后6mo， 眼球内陷深度≤1cm，观察组97.3%明显高于对照组80.8%(P<0.05)。 术后6mo时观察组对颜面部外观满意度为97.8%，明显高于对照组94.6%(P<0.05)。

结论：内窥镜技术应用于眼眶骨折手术中可有效改善复视及眼球内陷情况，且长远疗效较好，术后恢复更符合现代人的审美要求。

METHODS: A retrospective analysis was performed on 800 cases of orbital fractures patients in our hospital during August 2013 to August 2016, 354 cases of which received nasal external diameter surgery, included in control group; 446 cases received orbital fractures surgery with endoscope, included in observation group. All patients received postoperative 6-month follow up to observe postoperative clinical efficacy and improvement of diplopia classification eyeball depression, and to assess the satisfactory of facial appearance in patients.

RESULTS: Three months after surgery, the total effective rate of observation group was 92.8%, the control group was 90.4%(P>0.05); no significant difference in preoperative diplopia classification between them(P>0.05), diplopia was significantly improved in the follow-up at postoperative 3mo, diplopia 0 degree patients of observation group accounted for 70.9%, control group accounted for 66.7%(P>0.05); 6mo after surgery, the proportion of diplopia 0 was significantly higher in the observation group than that in the control group(97.1% vs 76.0%, P<0.05). There is no significant difference between the depth of preoperative endophthalmos(P>0.05). The proportion of postoperative enophthalmos depth≤1cm in the observation group was increased to 89.5%, and control group was increased to 85.9%(P>0.05). In the follow-up at postoperative 6mo, 97.3% patients with enophthalmos depth≤1cm, significantly higher than that of control group 80.8%, ignificant difference between groups(P<0.05). At 6mo follow-up, the satisfaction of facial appearance of observation group was 97.8%, significantly higher than that of the control group 94.6%(P<0.05).

CONCLUSION:Endoscope technique in the treatment of orbital fractures surgery can effectively improve the diplopia and enophthalmos, and better in long-time curing, postoperative recovery more in line with the aesthetic requirements of modern people.