玻璃体切割术在眼外伤患者治疗中的临床应用效果观察  

Application and Clinical Evaluation of Vitrectomy in the Treatment of Ocular Trauma

作　　者：张风禄 ZHANG Feng-lu(Liaocheng Guangming Ophthalmological Hospital,Liaocheng 252000,China)

机构地区：[1]聊城市光明眼科医院

出　　处：《中国医药指南》2019年第24期26-27,共2页Guide of China Medicine

摘　　要：目的探讨玻璃体切割术在眼外伤治疗中的应用及临床效果。方法选取我院(2016年1月至2018年1月)收治的86例(86眼),本组所有患者均接受玻璃体切割术治疗,对比本组患者手术前后视力(>0.3、0.12~0.3、0.02~0.1、数指、手动、光感、无光感)和临床疗效以及术后并发症发生率。结果手术后患者视力>0.1比例44.44%(20/45)明显高于手术前17.78%(8/45),差异具有统计学意义(χ2=16.5819,P<0.05)。本组45例(45眼)患者15眼(33.33%)解剖痊愈,28眼(62.22%)功能痊愈,剩余2例(4.44%)无效;本组患者临床疗效为95.56%(43/45)。本组45例(45眼)患者术后有8眼(17.78%)存在不同程度的术眼胀痛、角膜水肿、高眼压、前房渗出性炎症等,经局部用药治疗后并发症均消失,恢复正常。结论玻璃体切割术在眼外伤治疗中的应用临床效果满意,值得临床推广应用。Objective To investigate the application and clinical effect of vitrectomy in the treatment of ocular trauma.Methods 86 cases(86 eyes)were treated with vitrectomy in our hospital from January 2016 to January 2018.The visual acuity(>0.3,0.12-0.3,0.02-0.1,digital finger,manual,light and no light sensation)before and after the operation and the incidence of complications were compared.Results The visual acuity of 44.44%(20/45)patients after operation was significantly higher than that of 17.78%(8/45)before operation(χ2=16.5819,P<0.05).In 45 cases(45 eyes),15 eyes(33.33%)were anatomically cured,28 eyes(62.22%)were functionally cured,and the remaining 2 eyes(4.44%)were ineffective.The clinical efficacy of this group was 95.56%(43/45).In 45 cases(45 eyes),8 eyes(17.78%)had different degrees of ocular swelling and pain,corneal edema,high intraocular pressure,exudative inflammation of anterior chamber after operation.The complications disappeared after topical treatment and returned to normal.Conclusion The clinical effect of vitrectomy in the treatment of ocular trauma is satisfactory,and it is worthy of clinical application.

关 键 词：玻璃体切割术 眼外伤 临床效果 眼科 

分 类 号：R779.6[医药卫生—眼科]