云南西部地区眼后段异物伤分析  

Investigation of Posterior Segment Intraocular Foreign Body Injuries in Western Yunnan

作　　者：董开业[1] 马麦聪[1] 吴锐锋[1] 赵微[1] 洪卫[1] 李才锐[1] 

机构地区：[1]大理学院附属医院,云南大理671000

出　　处：《大理学院学报（综合版）》2011年第8期98-100,共3页Journal of Dali University

基　　金：云南省科技厅资助项目(ky419340);大理学院科研基金资助项目(2005X7)

摘　　要：目的:探讨云南西部地区眼后段异物伤的原因和手术效果。方法:回顾性分析眼内异物伤患者86例92眼,进行眼球表面定位法后径异物摘出术35例(35眼)和玻璃体切割异物摘出术51例(57眼)。结果:云南西部眼后段异物伤的主要原因为打击伤和爆炸伤。玻璃体切割术异物摘出率高于后径摘出术,96.5%(55/57)对85.71%(30/35)。玻璃体切割术者术后视力明显好于后径摘出术者(P<0.01)。结论:玻璃体切割术是治疗后段眼内异物的理想方法。Objective： To explore the common reasons and operation effects of posterior intraocular foreign bodies injury in western Yunnan.Methods： A retrospectively analysis was conducted on 86 patients（92 eyes）.Among 92eyes,35 eyes received posterior route extraction and 57 eyes received vitrectomy extraction.Results： Impact injury and bomb injury were the main reasons of eye injury in western Yunnan.The successful rate of vitrectomy（96.5%,55/57） was higher than that of posterior route extraction（85.71% 30/35）（P0.01）.Meanwhile,the postoperative visual acuity of vitrectomy groups was much better than that of posterior route extraction group.Conclusions： Vitrectomy is an ideal way for extraction of eposterior intraocular foreign bodies.

关 键 词：眼内异物 后径摘出术 玻璃体切割术 

分 类 号：R779.1[医药卫生—眼科]