开放性眼外伤82例临床特征及影响视力的相关因素分析  

The clinical character and prognostic indicators for visual outcome of open globe injuries： an analysis of 82 cases

作　　者：陈永东[1] 吴强[1] 宋蓓雯[1] 贾丽丽[1] 朱捷[1] 陈颖[1] 杜新华[1] 

机构地区：[1]上海交通大学附属第六人民医院眼科,200233

出　　处：《中华眼外伤职业眼病杂志》2012年第4期262-265,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察82例开放性眼外伤的流行病学及临床特征，验证眼外伤伤情判断系统的主要指标对82例开放性眼外伤术后视力的预测效果。方法回顾82例开放性眼外伤住院手术患者资料；记录患者的年龄、性别、受伤初始视力、受伤的类型、伤口的情况及术后最佳矫正视力。将术后视力〈0．1作为预后差的标准，并且与视力≥0．1组相比较，分析两组患者在损伤的类型、伤口分区、初始视力分级等方面的差异。结果82例开放性眼外伤男女比例为4．41：1，年龄集中在20～50岁，首位致伤器物为金属器具；最后视力≥0．1者42例，占总人数的51．22％；其中视力≥0．5者16例，占总数的19．51％；无光感及眼内炎者各1例；无行眼球摘除术者。视力〈0．1组与视力≥0．1组间的伤口分区、初始视力分级差异有统计学意义（P=0．027，P=0．025），而两组间受伤的类型差异无统计学意义（P=0．270）。结论国际眼外伤小组制定的伤情判断系统对开放性眼外伤的视力预后具有良好的预测作用。Objective To observe the clinical properties of 82 patients with open globe injuries （OGIs）, and to verify the efficacy of the classification system proposed by The Ocular Trauma Classification Group in predicting the visual outcome of the 82 patients. Method The clinical data of 82 OGIs patients, including the age, sex, visual acuity at admission, type of injury, location of injury and visual outcomes were retrospectively analyzed. A final best corrected visual acuity 〈 0. 1 was considered as poor outcome group and ≥0.1 as another group. The differences in the types of injury, zone location of injury and visual acuity at admission were compared between the two groups. Results The male to female ratio of the 82 patients was 4.41 ： 1. Fifty-nine （71.95%） patients were 21 - 50 years old. The first cause of the injury was metallic hardwire. Forty-two （51.22%） of the 82 patients bad a visual acuity ≥0.1, with 16 （ 19.51% ） eases having a visual acuity ≥0.5. One patient had no light perception, and one patient had endophthalmi- tis. No eyes were enucleated. The zone location of the injury and visual acuity at admission were significantly different between the two groups （ P = 0. 027, P =0. 025 ）, and the injury types were not significantly different（ P = 0. 270）. Conclusion Two indicators, the zone location of the injury and visual acuity at admission, in the classification system established by The Ocular Trauma Classification Group have a better predicting effect for the postoperation visual outcome of patients with OGIs.

关 键 词：眼外伤 开放性 视力 预后指标 临床特征 

分 类 号：R779.6[医药卫生—眼科]