20 年眼球摘除病理及流行病学分析  

EPIDEMIOLOGIC STUDY OF ENUCLEATION

作　　者：牛膺筠[1] 纪建中[1] 孙为荣[1] 仇宜解[1] 

机构地区：[1]青岛医学院眼科学教研室

出　　处：《青岛医学院学报》1997年第1期63-64,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：①目的探讨眼球摘除的病因及其不同时期的变化。②方法对２０年摘除的９２１只眼球的病因进行临床、病理和流行病学分析。将摘除眼球按病理诊断分类，以前１０年（１９７３～１９８２）和后１０年（１９８３～１９９２）为两个阶段，计算其构成比。③结果因肿瘤摘除眼球者中，视网膜母细胞瘤占第１位，误诊率与漏诊率最高的是葡萄膜黑色素瘤；前后１０年对比，因视网膜母细胞瘤、葡萄膜黑色素瘤、青光眼、眼内炎摘除眼球的例数下降；因眼外伤摘除例数增加；因角膜病摘除眼球占首位。④结论在今后保护眼球的防治工作中，应把角膜病放在主要地位。Objective To investigate the causes of enucleation and discuss the significance of the causes at two different periods. Methods A clinical, pathological and epidemiologic study was made on 921 eyes enucleated in the past 20 years which was divided into two periods——the former 10 years(1973￣1982) and the later 10 years(1983￣1992). The constitutional ratio of the causes was calculated. Results Of the enuclantion due to causes of tumor, retinoblastoma was the first cause. The highest rate of mis and missing diagnosis is uveal melanoma. A comparison of the causes for enucleation between the former and later ten years showed that the number of enucleated eyes due to retinoblastoma, uveal melanoma, glaucoma and endophthalmitis was increased. Enucleation due to corneal diseases became the first cause. Conclusion Prevention and treatment of corneal diseases become important in the future work of eye protection.

关 键 词：眼球摘除 病理学 流行病学 

分 类 号：R779.64[医药卫生—眼科]