47例新疆地区儿童眼球穿通伤临床特点及视力预后相关因素分析  

Clinical analysis and prognostic factors on visual acuity of 47 children with perforating injury of eyeball in Xinjiang Uygur Autonomous Region

作　　者：秦艳莉[1] 麦迪娜.那毕江 QIN Yanli;MAIDINA Nabijiang(Uighur Autonomous Region People’s Hospital,Urumqi 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院眼科,乌鲁木齐830001

出　　处：《中国中医眼科杂志》2019年第1期47-49,共3页China Journal of Chinese Ophthalmology

摘　　要：目的了解新疆地区儿童眼球穿通伤的临床特点及视力预后相关因素。方法对我院2010年1月—2017年3月收治的儿童眼球穿通伤患儿47例(47只眼)临床特征进行回顾性分析。分析统计患者的一般资料、致伤原因、临床特点,比较治疗前后的视力情况,分析视力预后相关因素。结果儿童眼外伤具有以下特点:男童(72.3%)较女童(27.7%)多发;致伤原因中位列前5位的分别是:烤肉钎7例(14.9%)、木刺6例(12.8%)、树枝6例(12.8%)、刀6例(12.8%)和玻璃5例(10.6%)。受伤24 h内就诊者20例(42.6%),24～72 h以上就诊11例(23.4%),72 h后就诊的16例(34.0%)。伤口位置位于I区的患儿35例(74.5%),其次位于II区者7例(14.9%),位于III区者5例(10.6%)。伤口大小≤5 mm的33例(70.2%),>5 mm的14例(29.8%)。儿童眼球穿通引起的并发症多而重,居前三位的为虹膜崁顿(72.3%)、外伤性白内障(42.6%)和前房积血(31.9%)。与视力预后显著相关的因素有:初始视力差(P=0.035),靠后伤口位置(P=0.004),就诊时间超过72 h(P=0.037)。结论儿童眼球穿通伤致伤原因多样,并发症多,对视功能危害大,积极治疗可以改善视力预后。OBJECTIVE To comprehend the clinical characteristics and related factors of prognostic visual acuity of children with perforating injury of eyeball in Xinjiang Uygur Autonomous Region.METHODS A retrospective analysis was taken to include 47 patients(47 eyes)who were hospitalized in ophthalmology department from January 2010 to March 2017 for management of eyeball perforation injury.The basic information,injuring causes and clinical characteristics of patients were analyzed,visual acuities before and after treatment were compared while the visual acuity related prognostic factors were analyzed.RESULTS Clinical characteristics of children eyeball injury:gender:male patients(72.3%)was more than female patients(27.7%);Top five injuring causes were:skewer(7 eyes,14.9%),wood thorn(6 eyes,12.8%),tree branch(6 eyes,12.8%),knife(6 eyes,12.8%)and broken glass(5 eyes,10.6%).Intervention time:20 eyes(42.6%)were within 24 hours,11 eyes(23.4%)were between 24 and 72 hours,16 eyes(34.0%)were after 72 hours.Lesion area:35 eyes(74.5%)were located in area I,7 eyes(14.9%)were located in areaⅡ,5 eyes(10.6%)were located in areaⅢ.Wound length:33 eyes(70.2%)were less or equal to 5 mm,14 eyes(29.8%)were more than 5 mm.Top three complications:iris incarceration(72.3%),traumatic cataract(42.6%)and hyphema(31.9%).Remarkable factors related to prognostic visual acuity:poor original visual acuity(P=0.035),perforation zone(P=0.004),intervention after 72 hours(P=0.037).CONCLUTIONS There were multiple reasons and various complications of children eyeball perforation injury and it was prone to severe impairment of visual acuity.Proper treatment without delay could improve prognostic visual acuity.

关 键 词：眼球穿通伤 儿童 新疆 

分 类 号：R779.12[医药卫生—眼科]