摘要
目的探讨开放性眼外伤玻璃体手术的时机。方法回顾性研究。选取洛阳市第一人民医院2017年1月至2019年1月收治的开放性眼外伤患者100例(100眼),按受伤后至手术的时间分为两组。对照组在伤后10~14天行玻璃体手术,研究组为伤后早期(2~4天)行玻璃体手术,比较两组手术效果及并发症情况。随访3个月。结果研究组的总治愈率为96.0%,高于对照组的76.0%(χ^2=8.306,P=0.000)。研究组术后继发性青光眼发生率为2.0%、外伤性增生性玻璃体视网膜病变发生率为4.0%,硅油依赖发生率为2.0%,玻璃体再积血率为0,均低于对照组相应的16.0%、22.0%、14.0%及12.0%,各参数两组间差异均有统计学意义(χ^2=5.983,7.162,4.891,6.383,P=0.011,0.010,0.000,0.021)。结论开放性眼外伤伤后早期行玻璃体手术,能够提高治疗效果,减少外伤性增生性玻璃体视网膜病变等并发症发生。
Objective To investigate the timing of vitreous surgery for open ocular trauma.Methods This was a retrospective study.A total of 100 eyes of 100 patients with open ocular trauma admitted to Luoyang First People’s Hospital from Jan.2017 to Jan.2019 were selected and divided into two groups according to the time between injury and surgery.The control group underwent vitreous surgery at 10-14 days after injury,and the study group underwent vitreous surgery at the early stage,2-4 days after injury.The surgery efficacy and complications between the two groups were compared.The follow-up time was 3 months.Results The total cure rate in the study group was 96.0%,which was significantly higher than the 76.0%in the control group(χ^2=8.306,P=0.000).The incidence of postoperative secondary glaucoma was 2.0%.The rate of traumatic proliferative vitreoretinopathy(TPVR)was 4.0%.The rate of silicone oil dependence was 2.0%.And the rate of recurrent vitreous hemorrhage rate was 0.These four parameters were lower than those(16.0%,22.0%,14.0%and 12.0%)in the control group(χ^2=5.983,7.162,4.891,6.383,P=0.011,0.010,0.000,0.021).Conclusion Vitreous surgery at early stage after open ocular trauma can effectively improves the efficacy,and reduces complications such as TPVR.
作者
曹亚菲
王丽
王晓霞
邓卫东
Cao Yafei;Wang Li;Wang Xiaoxia;Deng Weidong(Department of Ophthalmology,Luoyang First People’s Hospital,Luoyang 471000,China)
出处
《中华眼外伤职业眼病杂志》
2020年第6期434-438,共5页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
外伤
眼
开放性
手术
玻璃体
效果
治疗
时机
手术
并发症
Trauma
ocular
open
Surgery
vitreous
Efficacy
treatment
Timing
surgery
Complications
