眼内金属异物83例回顾性分析  

Retrospective analysis of 83 patients with metallic intraocular foreign bodies

作　　者：肖丽波[1] 张利伟[1] 

机构地区：[1]云南省第二人民医院眼科,昆明650021

出　　处：《中华眼外伤职业眼病杂志》2013年第1期39-44,共6页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的描述眼内金属异物伤，并对影响其视力及预后的相关因素进行分析。方法回顾2005年1月至2010年12月我院收治83例（83眼）眼内金属异物伤，对其临床特征、治疗方法、及治疗结果使用单因素及多因素方法分析。结果年龄7—79岁。男性占91．57％。经治后37例视力≥0．1，占44．58％。经t检验显示伤道越小（P=0．039）、年龄越小（P=0．001）视力恢复越好。经卡方检验，结果显示治疗后视力与初诊视力、异物位置、晶状体、虹膜正常与否有关。经过多因素分析显示，治疗后视力与患者年龄、初诊视力、晶状体是否正常有关。结论本研究分析了我院眼内金属异物伤的临床特征及影响预后的多种因素，其可以帮助我们对患者预后做出分析，并可帮助我们在接诊时采取更有效的诊治措施。Objective To describe metallic intraocular foreign body（MIOFB） and analyse the re- lated factor of visual prognosis. Methods 83 cases（83 eyes） with MIOFB from January 2005 to December 2010 were reviewed for clinical characteristics, surgical intervention ,therapeutic effect and analysed by sin- gle and multiple factor methods. Results The age of patients were 7-79 years old with a male predominance （91.57%）. The postoperative vision were 0.1 or better in 37 cases（44.58% ）. T test showed that smaller injury length（ P = O. 039） and smaller age（ P = 0. 001 ） of patient had good visual prognosis. X2 test showed that good visual prognosis was assoiated with initial vision, IFOB location, lens and iris were normal or not. Multiple factors analysis showed that visual outcome was associated with age of patient, initial VA, normal lens or not. Conclusion Multiple prognostic factors are identified in this analysis of metallic intraocular for- eign body injuries, which may help predict visual outcome, and help us to choose effective treatments.

关 键 词：异物 眼内 金属 视力 分析 

分 类 号：R77[医药卫生—眼科]