Abstract: Objective To study the spiral CT diagnosis of orbital fractures.Methods In orbital fraetures in 80 patients were retrospectively analyzed with spiral CT.Results Of direct CT signs of orbital fracture orbital wall bone for the discontinuity,grinding,depression and abnormal curvature;maxillary sinus cavity a "teardrop" sign is the diagnosis of orbital wall fracture under the specific indirect signs,extraocular muscle was embedded Dayton and enophthalmos and traction test is positive indications for surgical treatment.Conclusion The spiral CT scan can fully and accurately diagnosis of orbital fractures,there is great value for clinical treatment.