摘要
目的：探讨细菌性眼内炎的治疗方法。方法：回顾分析细菌性眼内炎先玻璃体内注射药物后行玻璃体切除的２３例（Ⅰ组）与玻璃体切除同时注药的２８例（Ⅱ组）的治疗效果。结果：两组治疗有效率相似，但显效率Ⅰ组为４７．８％，Ⅱ组为１７．９％；炎症控制所需的时间Ⅰ组为１０．３天，Ⅱ组为１３．６天。均有显著差异（Ｐ＜０．０５）。Ⅱ组术后并发视网膜脱离的发生率是Ⅰ组的３．３倍。结论：玻璃体内先注射药物后切除治疗细菌性眼内炎，可增加玻璃体切除手术的安全性，提高眼内炎的治疗效果。
PURPOSE: To investigate the treatment of severe bacterial endophthalmitis.METHODS:The curative effects of vitrectomy after intravitreal antibiotics and steroids(IVAS)for the treatment of 23 patients with bacterial endophthalmitis(group I)and vitrectomy and IVAS at the same time for the treatment of 28 patients with bacterial endophthalmitis(group Ⅱ)were analyzed retrospectively.RESULTS: The rate of curative effects of two groups were similar,while the marked curative effects in group I (47.8%)was significantly higher than that of the group Ⅱ(17.9%).The average period of eliminating inflamation of group Ⅱ was longer than that of group Ⅰ, and the incidence of postoperative retinal detachment of group Ⅱ was 3 times more than that of group Ⅰ.CONCLUSION:It was indicated that vitrectomy after IVAS may increase the security of vitrectomy and the curative effects of severe bacterial endophthalmitis.
出处
《中华眼底病杂志》
CAS
CSCD
北大核心
1997年第3期131-133,共3页
Chinese Journal of Ocular Fundus Diseases
基金
江苏省卫生厅青年基金
关键词
细菌性
药物疗法
眼内炎
玻璃体切除
Eye infections,bacterial/drug therapy Eye infections,bacterial/surgery Glucocorticoids/administration & dosage Antibiotics/administration & dosage Vitreous body
