眼损伤致眼球摘除723例临床分析  

Clinical analyses 723 cases of enucleation caused by eye injury

作　　者：孙桂珍[1] 高方[1] 宋斗[1] 高丽雅[1] 尤媛[1] 

机构地区：[1]杭州解放军117医院眼科,浙江杭州310004

出　　处：《中国伤残医学》2006年第4期25-27,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨眼损伤致眼球摘除的病例病因、分布与临床表现。方法：对723例因眼损伤致眼球摘除的嫡例进行回顾性统计分析。结果：723例眼损伤致眼球摘除的病例，男/女等于6．5／1；20岁。50岁占80．08％；外来务工人员所占比例较大43．98％．锐器伤457例，Ⅰ期摘除率11．35％，挫伤154例，Ⅰ期摘率57．14％，车祸、爆炸等111例，Ⅰ期摘除率95．50％；Ⅱ期摘除的患者中眼球萎缩占40．53％，继发性青光眼占21．30％。钝挫伤组眼眶壁骨折发病率在89，72％，其中以眶下壁／眶内侧最多见。结论：眼损伤病例虽锐器伤发生率高，但钝挫伤与车祸、坠落、爆炸等伤情重，Ⅰ期摘除率高，常伴有眼眶骨折。Objective： To investigate the case＇ s pathogenesis, distribution and clinical signs of enucleation caused by eye injury. Methods： 723 cases of enucleation caused by eye injury were retrospectively analyzed. Results：In 723 cases of enucleation caused by eye injury, the sexual ratio is 6.5/1（male/female）; 80% of patients are young people aged from 20 to 50 years old,mainly from rural areas（43.98%）. The primary enucleation were used to 52 cases （11.35%） in 457 cases of sharp wound,and 88 cases（57.14%） in 154 cases of blunt trauma, and 106 cases（95.50%） in 111 cases of traffic accident and explosion.The eyeball atrophy and secondary glaucoma havd the most proportion in secondary enucleation, the rate of eyeball atrophy was 40.53%, secondary glaucoma was 21.30%.The morbidity of Orbit fracture in blunt trauma group was 89.72%, in which Orbital medial wall and obital floor wall can be mainly seen. Conclusion： Most cases of eye injury were sharp wound, but the cases of blunt trauma were more serious. Most of blunt trauma cases need to primary enucleation.Most of them accompany orbit fracture.

关 键 词：眼损伤 眼球摘除 眼眶骨折 

分 类 号：R779.64[医药卫生—眼科]