开放性眼外伤玻璃体积血的手术治疗  

SURGICAL TREATMENT OF VITREOUS HEMORRHAGE IN OPEN EYE INJURIES

作　　者：修方伟[1] 刘兆荣[1] 

机构地区：[1]日照市人民医院眼科,山东日照276800

出　　处：《青岛大学医学院学报》2004年第2期162-163,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：①目的　探讨现代玻璃体手术对开放性眼外伤玻璃体积血的治疗效果。②方法　对 1 0 8例开放性眼外伤玻璃体积血的病人 ,于伤后 2～ 4周施行玻璃体切割置换术 (单纯玻璃体切割术 2 4例 ,联合晶体切割 84例 ,联合视网膜手术 76例 )。③结果　术后经随访 2周～ 1 8个月 ,4 8例达功能治愈 ,36例达解剖治愈 ,总治愈率达77.7%。 2 4例继发青光眼者眼压控制在 1 .37～ 2 .2 4kPa。④结论　适时地施行玻璃体切割置换术 ,可很大程度地改善开放性眼外伤玻璃体积血病人的预后 ,对有效防治外伤性玻璃体视网膜病变以及牵引性视网膜脱离等具有重要作用。Objective To probe into the treatment results of modern vitreous operation on vitreous hemorrhage in open eye injuries. Methods Clinical data of 108 patients with vitreous hemorrhage caused by open eye injuries were analyzed. These patients had undergone vitreous cutting replacements, including 24 cases of pure vitreous cutting, 84 cases with lens cutting, and 76 with retina operation, at 2 to 4 weeks after injury. Results The follow-up of 2 weeks to 18 months after the operation showed that 48 cases were functionally cured, and 36 were anatomically cured, with total cure rate being 77.7%. The eye pressure of secondary glaucoma of 24 cases was controlled between 1.37-2.24 kPa. Conclusion To conduct opacity cutting replacement at an opportune moment can to a great extent improve the future results of the patients who suffer from opacity accumulated blood, it also plays an important role in effectively preventing the pathological changes of open opacity retina and the separation of dragging retina.

关 键 词：眼外伤 玻璃体出血 玻璃体切割置换术 

分 类 号：R779.6[医药卫生—眼科]