角膜铁质异物125例临床分析  

Clinical analysis on 125 cases of corneal iron foreign body

作　　者：刘佳[1] 濮清岚[1] 

机构地区：[1]浙江省嘉兴市妇幼保健院眼科,浙江嘉兴314051

出　　处：《中国现代医生》2015年第29期51-53,57,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2014KYB272)

摘　　要：目的分析影响角膜铁质异物预后的因素。方法收集2012年7月～2013年9月眼科门诊角膜铁质异物患者125例，共125眼，回顾性分析患者伤后就诊时间及异物的深度对角膜铁质异物剔除术后角膜恢复情况的影响。结果角膜铁质异物中男118例（94．4％），平均年龄（33．7±8．7）岁。职业以建筑工人为主。伤后1d内就诊的患者有32例（25．6％），次日复诊均角膜透明，伤后1～3d就诊的患者78例（62．4％），次日复诊角膜局部混浊40例（51．3％），铁锈残留15例（19．2％），伤后3d以上就诊的患者15例（12．0％），均见角膜局部混浊，铁屑残留3例（20．0％），在角膜异物剔除术后角膜恢复情况在不同就诊时间的差异均有统计学意义（P〈0．05）。角膜异物深度I度70例（56．0％），Ⅱ度55例（44．0％），包括浅Ⅱ度34例及深Ⅱ度2l例。I度及浅Ⅱ度的患者均在3d内就诊，深Ⅱ度患者中有10例（47．6％）在3d后就诊。角膜异物深度与就诊时间呈正相关（r=0．748，P〈0．01）。就诊时间〈1d及〉3d的患者角膜异物深度比较差异有高度统计学意义（P〈0．01）。1～3d内就诊的患者角膜异物深度比较无明显统计学差异（P〉0.05）。结论角膜铁质异物伤后及时就诊可改善角膜异物剔除术的预后，患者伤后就诊时间与异物深度有关，异物深度越浅，患者伤后就诊时间相对越早。Objective To analyze the influencing factors of prognosis of corneal iron foreign bodies. Methods 125 cases of patients with corneal iron foreign bodies （a total of 125 eyes） treated in the ophthalmic clinic from July 2012 to September 2013 were collected. Besides, retrospective analysis was conducted on the influence of clinical time after the injury and the depth of the foreign body on postoperative cornea recovery of the corneal iron foreign body removal. Results There were 118 male patients （94.4%） in the corneal iron foreign body, and the average age was （33.7±8.7） years, treatment within 1 day after injury were 32 patients （25.6%）, the next visit were corneal transparency; treatment within 2 to 3 days after injury were 78 cases （62.4%）, the next day to visit were corneal local turbidity in 40 cases （51.3%）, rust residue in 15 cases （19.2%）. 15 cases of patients over 3 days after injury, corneal opacity were seen in local, iron residue in 3 cases （12.0%）. The postoperative cornea recovery of the corneal iron foreign body removal was statistically significant in different clinic time（P〈0.05）. There were 70 cases （56.0%） of cornea! foreign body I depth, and 55 cases （44.0%） Ⅱ degree, including 34 cases with shallow Ⅱ degree and 21 cases with deep Ⅱ degree. Patients with grade I and superficial Ⅱ were treated within 3 days, There were 10 patients （47.6%） within deep Ⅱ degree who were treated at 3 days after injury. Corneal foreign body depth was positively correlated with clinic time （r=0.748, P〈0.01）. There were statistically significant differences of corneal foreign body depth of the patients with clinical time less than one dayor more than 3 days（P〈0.01）, while there was no statistically significant difference of corneal foreign body depth of the patients with clinical time within 1 to 3 days （P〉0.05）. Conclusion Timely treatment after the corneal iron foreign body injury can improve the prognosis of corneal foreign body removal;

关 键 词：角膜异物 剔除 眼外伤 治疗 预后 

分 类 号：R779.14[医药卫生—眼科]