开放性眼外伤患者玻璃体切除术后视力改善情况及其影响因素分析  

Analysis of Visual Acuity Improvement after Vitrectomy in Patients with Open Ocular Trauma and Its Influencing Factors

作　　者：刘航宇 LIU Hangyu(Department of Fundus Ward,Weifang Ophthalmic Hospital,Weifang 261000,China)

机构地区：[1]山东省潍坊眼科医院眼底病区,山东潍坊261000

出　　处：《中国伤残医学》2024年第24期69-72,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨开放性眼外伤患者玻璃体切除术后的视力改善情况及其影响因素。方法:回顾性分析2021年3月—2024年3月于潍坊眼科医院行玻璃体切除术治疗的120例开放性眼外伤患者资料。所有患者均一期接受开放性眼外伤缝合术,并于术后7~10 d二期行玻璃体切除术,术后6个月复查最佳矫正视力。依据患者的术后视力改善情况将其分为恢复良好组(n=88)及恢复欠佳组(n=32),收集两组的性别、就诊时视力、一期手术时机、年龄、外伤分区等基础资料,开展Logistic回归分析,获取影响开放性眼外伤患者玻璃体切除术后视力改善情况的相关因素。结果:120例患者中,88例恢复良好,32例恢复欠佳。术后视力恢复欠佳组的年龄<18岁、眼内有异物、一期缝合手术时机>72 h、外伤分区三区、就诊时视力≤0.05占比均高于恢复良好组,差异均有统计学意义(P<0.05)。多因素分析显示,年龄<18岁、眼内有异物、一期缝合手术时机>72 h、外伤分区三区、就诊时视力≤0.05为影响开放性眼外伤患者玻璃体切除术后视力的相关因素(P<0.05)。结论:开放性眼外伤患者玻璃体切除术后视力改善情况与年龄<18岁、眼内有异物、一期缝合手术时机>72 h、外伤分区三区、就诊时视力≤0.05关系密切,为更好地改善患者视力,需做好相关干预措施。Objective:To investigate the visual acuity improvement after vitrectomy in patients with open ocular trauma and its influencing factors.Methods:Data of 120 patients with open eye trauma who underwent vitrectomy in Weifang Ophthalmic Hospital from March 2021 to March 2024 were retrospectively analyzed.All patients received open ocular trauma suture in the first stage,and after 7-10 days underwent vitrectomy in the second stage.The best corrected visual acuity was reviewed 6 months after surgery.Patients were divided into a good recovery group(n=88)and a poor recovery group(n=32)according to their postoperative visual acuity improvement.Basic data such as gender,visual acuity at treatment,time of first-stage surgery,age and trauma area of the two groups were collected,and Logistic regression analysis was carried out to obtain the related factors affecting the improvement of visual acuity after vitrectomy in patients with open ocular trauma.Results:Among 120 patients,88 had good recovery and 32 had poor recovery.The proportion of age<18 years old,foreign body in the eye,time of primary suture operation>72 h,third trauma zone and visual acuity≤0.05 in the poor visual acuity recovery group were higher than those in the good recovery group,the differences were statistically significant(P<0.05).Multivariate analysis showed that age<18 years,foreign body in the eye,and the time of primary suture surgery>72 h,third trauma zone,visual acuity≤0.05 were the relevant factors affecting post-vitrectomy visual acuity in patients with open eye trauma(P<0.05).Conclusion:The improvement of visual acuity after vitrectomy of patients with open ocular trauma is closely related to age<18 years old,foreign body in the eye,time of primary suture surgery>72 h,third trauma zone,and visual acuity≤0.05 at treatment.In order to better improve visual acuity of patients,relevant intervention measures should be taken.

关 键 词：开放性眼外伤玻璃体切除术 术后视力改善 影响因素 

分 类 号：R779.6[医药卫生—眼科]