玻璃体切割手术治疗复杂眼外伤的疗效分析  

Vitrectomy for complicated ocular trauma

作　　者：吴迪[1] 田苗苗[2] 赵凌 张春艳[2] WU Di;TIAN Miaomiao;ZHAO Ling;and ZHANG Chunyan(Department of Ophthalmology,Jilin Province People＇s Hospital,Changchun 130021,China;Department of Second Internal Medicine,Jilin Cancer Hospital,Changchun 130012,China;Department of Outpatient,Chinese People＇s Liberation Army 93175 Force,Changchun 130000,China)

机构地区：[1]吉林省人民医院眼科 [2]吉林省肿瘤医院内二科 [3]解放军93175部队门诊部

出　　处：《中华灾害救援医学》2018年第11期628-631,共4页Chinese Journal of Disaster Medicine

摘　　要：目的探讨玻璃体切割手术治疗复杂眼外伤的临床疗效,为复杂眼外伤临床治疗方案的选择提供参考依据。方法回顾性分析2015-03至2017-09吉林省人民医院眼科收治的复杂眼外伤患者89例(89只眼),患者均行玻璃体切割手术治疗。观察术后并发症及手术治愈情况,比较患者术前和术后的视功能,以及术前、术后3个月和6个月的汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评分。结果 89例(89只眼)患者中,功能治愈58例(65.17%),解剖治愈23例(25.84%);手术成功率达91.01%,术后并发症发生率为21.35%。患者术前、术后3个月和6个月的HAMA评分分别为(18.9±3.7)分、(10.5±2.3)分和(7.1±1.2)分,术后3个月及6个月的HAMA评分均低于术前,差异均具有统计学意义(P<0.05)。结论玻璃体切割术治疗复杂眼外伤能明显改善患者视功能,是治疗复杂眼外伤的一种有效的手段。Objective The objective of this study was to analyze the clinical efficacy of vitrectomy for the treatment of complicated ocular trauma, and to provide reference for clinical treatment options for complicated ocular trauma. Methods 89 cases （89 eyes） of complicated ocular trauma treated in the department of ophthalmology of Jilin Province People＇s Hospital from September 2017 to March 2015 were retrospectively analysed. All patients were treated with vitrectomy. The visual function of patients before and after treatment was compared and the postoperative complications and treatment conditions were observed. The Hamilton Anxiety Scale （HAMA） scores were compared before and after 3 months and 6 months following the operation. Results Among the 89 cases （89 eyes）, 58 cases （65.17%） were functionally cured, 23 cases （25.84%） were anatomically cured; the success rate of operation was 91.01%, and the postoperative complication rate was 21.35%. The preoperative HAMA score （18.9±3.7） was higher than that of 3 months （10.5±2.3） and 6 months （7.1±1.2） following the operation （P〈0.05）. Conclusions Vitrectomy can obviously improve the visual function of the patients with complex ocular trauma and relieve the anxiety of the patients. It is an effective method for the treatment of complicated ocular trauma.

关 键 词：玻璃体切割手术 视功能 复杂眼外伤 

分 类 号：R779.6[医药卫生—眼科]