挫伤性眼球破裂的相关因素与视力预后的关系  

Factors associated with eyeball rupture and its relationship with visual outcome

作　　者：毛卫红[1] 田明华[1] 陈辉[1] 管怀进[1] 

机构地区：[1]南通医学院附属医院眼科,江苏省226001

出　　处：《眼外伤职业眼病杂志》2003年第10期666-667,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　探讨眼球破裂伤的相关因素与视力预后的关系。方法　回顾 13 6例 13 6眼眼球破裂伤临床资料 ,对其相关因素与最终视力的关系作非参数检验及二元变量的相关性分析。结果　最初视力≤ 0 0 1与 >0 0 1组之间和伤口范围≤ 1象限与 >1象限组之间的最终视力差异有非常显著意义 (P <0 0 1)。伤口末端在角膜缘部、肌止端前、和肌止端后 3组间 ;伤口长度≤ 10mm、11～ 2 0mm、>2 0mm 3组间 ;眼内出血和眼内容脱失的轻、中、重 3组间的最终视力差异有非常显著意义 (P <0 0 1)。最终视力与最初视力 ,伤口范围、位置、长度 ,眼内出血及眼内容脱失程度相关。结论　眼球破裂伤的最初视力越差 ,伤口范围越大、越向后延伸、长度越长 ,伴眼内出血及眼内容脱失程度越重 ,其视力预后越差。Objective To study the visual outcome and factors associated with eyeball rupture.Methods Retrospective review of 136 patients' clinical records was performed.Relations of final visual acuity with related factors were observed and statistically analysed by SPSS.Results There were significant differences of the final visual acuity between the initial visual acuity ≤0.01 and >0.01 groups and the extent of wound ≤1 quadrant and >1 quadrant groups (P<0.01).There were significant differences of the final visual acuity among 3 groups of location (in front of,at or behind the insertion of recti) and length(≤10 mm,≤20 mm,>20 mm) of wound,3 degrees (light,moderate,severe of intra-ocular hemorrhage and loss of ocular content)(P<0.01).Therefore the final visual acuity was correlated with the initial visual acuity,the extent of the wounds,the location and length of the wounds,the degree of intra-ocular hemorrhage and loss of ocular content.Conclusion The low initial visual acuity,the wider extent of wound,the more hinder location of wound,the larger the wound,the more severe intra-ocular hemorrhage and the more loss of the ocular content result in the worse visual outcome.

关 键 词：挫伤性眼球破裂 影响因素 视力 预后 手术方法 

分 类 号：R779.1[医药卫生—眼科]