方法：回顾性分析本院收治、行眶壁修复术加填充术的眼眶骨折单眼患者37例，分别于治疗前、治疗后1、3、6mo测定患者的眼球突出度、视力及运动功能。

结果：所有患者均成功完成手术，伤口Ⅰ期愈合，无感染、排异等不良反应，也并无过矫情况发生； 随访至术后6mo时，眼球突度的临床治愈率为59.5%，余40.5%欠矫。患者手术前后的复视程度有统计学差异(Z=45.167，P<0.05)； 术后1、3、6mo临床痊愈率分别为46%、65%、78%，整体改善率分别为84%、89%、95%。患者手术前后的眼球运动障碍程度有统计学差异(Z=48.847，P<0.05)； 术后1、3、6mo临床痊愈率分别为51%、68%、84%，整体改善率分别为86%、89%、97%。

结论：眼眶眶壁修复术加填充术整复眼眶骨折能够有效改善复视和眼球运动功能障碍情况，准确评估病情、掌握手术时机和手术入路、选择合适的填充材料是手术成功的基本保障。

METHODS: Thirty seven patients with monocular orbital fracture and treated by fracture retroconstruction and tamponade were analyzed restropectively. The exophthalmos degree, vision and eye movement function of all patients before and after treatments were detected.

RESULTS: All patients were performed the surgery successfully, and the wound was in primary healing, without infection, rejection or the other untoward effects. At 6mo after surgeries, the clinical cure rate of exophthalmos was 59.5%, and the other 40.5% was under correction. The diplopia degree before and after treatments had statistical difference(Z=45.167, P<0.05); the clinical cure rates at 1, 3 and 6mo after treatments were 46%, 65% and 78% respectively and the improved rates were 84%, 89% and 95%. The eye movement disorder degree before and after treatments had statistical difference(Z=48.847, P<0.05); the clinical cure rates at 1, 3 and 6mo after treatments were 51%, 68% and 84% and the improve rates were 86%, 89% and 97% respectively.

CONCLUSION: Orbital fracture reconstruction can improve diplopia and eye movement disorder effectively. Assessing disease accurately, mastering surgical time, surgical approach and choosing suitable filling material are all basic guarantees for successful operations.