目的:探讨眼眶爆裂性骨折保守治疗和手术治疗临床效果。方法:选择治疗眼眶爆裂性骨折患者17例进行回顾性分析,17例患者中有8例用保守治疗的方法,9例进行手术治疗,同时治疗其他合并症。结果:经过治疗17例患者有14例未出现复视及明显的眼球内陷,其中8例保守治疗的患者有5例未出现复视及明显的眼球内陷,2例出现复视加重,1例上睑下垂;手术治疗的9例患者中均未出现复视及明显的眼球内陷,但是有1例眶下神经损伤,1例泪囊损伤。结论:要根据患者病情选择保守治疗或手术治疗,如果CT发现线性骨折合并眼肌绞窄,则需急诊手术,如果保守治疗1周,复视无好转,则需要手术治疗。 Objective: To investigate the conservative treatment of orbital blowout fractures and surgical treatment of clinical effect. Methods: A retrospective analysis of 17 patients with orbital blowout fractures was selected. Of the 17 patients, 8 were conservatively treated, 9 were treated surgically, and other comorbidities were also treated. Results: Of the 17 patients who underwent treatment, there was no diplopia and significant retraction in 14 patients. Of the 8 patients who underwent conservative treatment, 5 had no diplopia and significant retraction of the eye, 2 had exacerbations, 1 Cases of ptosis; Surgical treatment of 9 patients without diplopia and significant retraction of the eye, but there was 1 case of infraorbital nerve injury, 1 case of lacrimal sac injury. Conclusion: According to the patient’s condition, conservative treatment or surgical treatment should be selected. If CT is found to be associated with ocular muscle strangulation by CT, an emergency operation is required. If conservative treatment is given for 1 week, there is no improvement for diplopia. Surgical treatment is required.