玻璃体切割术治疗复杂眼外伤的疗效及预后影响因素分析  

Efficacy and Prognostic Influencing factors of Vitrectomy in the Treatment of Complicated Ocular Trauma

作　　者：宋建斌[1] 李晶明[2] 王满华[1] 周杨[1] 唐浩[1] SONG Jian-bin LI Jing-ming WANG Man-hua ZHOU Yang TANG Hao(Department of Ophthalmology, Ankang Hospital of Traditional Chinese Medicine, Ankang, Shaanxi ,725000, China Department of Ophthalmology, The First Affiliated Hospital of Xi＇an Jiaotong University, Xi＇an, Shaanxi, 710061, China)

机构地区：[1]安康市中医医院眼科,陕西安康725000 [2]西安交通大学第一附属医院眼科,陕西西安710061

出　　处：《现代生物医学进展》2017年第20期3929-3931,3977,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨玻璃体切割术治疗复杂眼外伤的临床疗效、安全性及其预后影响因素。方法:选取我院收治的80例眼外伤患者,均行玻璃体切割术治疗,观察并记录患者的术前、术后6个月的最佳矫正视力(BCVA),术前、术后3个月、6个月的汉密尔顿焦虑量表(HAMA)评分,分析影响患者预后的危险因素及随访6个月期间并发症的发生情况。结果:患者术后BCVA比例较术前显著提高,差异具有统计学意义(P<0.05)。术前视力、眼内异物、受伤类型、手术时机均是影响患者预后的危险因素。患者术后3个月、6个月的HAMA评分明显低于术前(P<0.05)。随访6个月期间,共有71例患者眼内炎症反应,17例术后继发青光眼,6例角膜水肿。结论:玻璃体切割术治疗复杂眼外伤能明显改善患者视力,缓解患者焦虑情绪,患者术前视力情况及手术时机的选择是患者预后重要的影响因素。Objective：To investigate the efficacy,safety,prognostic influencing factors of vitrectomy in the treatment of the complicated ocular trauma.Methods：80 patients with complicated ocular trauma were selected and given vitrectomy.The efficacy of vitrectomy in the treatment of the complicated ocular trauma was analyzed by best corrected visual acuity （BCVA） before operation,at 6 months after operation,hamilton anxiety scale （HAMA） value before operation,at 3 and 6 months after operation,the risk factors influencing the prognosis and complications during 6 months follow-up.Results：The BCVA was significantly improved after operation （P＜0.05）.The preoperative visual acuity,intraocular foreign body,type of injury and operative time were the risk factor of prognosis.The preoperative HAMA score was 19.6± 4.1,the HAMA score was 11.3± 2.5 at 3 months after operation and 7.6± 1.1 at 6 months after operation.The HAMA score at 3 and 6 months after operation were higher（P＜0.05）.During 6 months＇ follow-up,71 cases of intraocular inflammation,17 cases of secondary glaucoma and 6 cases of comeal edema were observed.Conclusion：Vitrectomy was effective in the treatment of complicated ocular trauma,which could improve the patients＇ vision,relieve the anxiety of patients.Preoperative visual acuity and operation opportunity were important prognostic factors for the patients with complicated ocular trauma.

关 键 词：玻璃体切割术 复杂眼外伤 视力 并发症 预后 

分 类 号：R779.1[医药卫生—眼科]