经睫状体扁平部玻璃切除术治疗迟发型滤泡相关眼内炎11例分析

发布时间：2018-01-12 21:23

本文关键词：经睫状体扁平部玻璃切除术治疗迟发型滤泡相关眼内炎11例分析　出处：《安徽医学》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨经睫状体扁平部玻璃体切除术(PPV)治疗小梁切除术后滤泡相关眼内炎(BRE)临床效果,分析影响视力预后因素。方法回顾性分析2000年12月到2013年7月安徽省立医院行PPV治疗11例小梁切除术后并发BRE患者的临床资料,观察PPV临床效果,统计分析患者的年龄、BRE病程、滤泡渗漏、致病菌感染等可能影响PPV疗效的影响因素。结果患者经PPV治疗后视力较术前提高,差异有统计学意义(Z=-2.386,P=0.017),小梁切除术到BRE发病的平均时间为(7.42±2.31)年,BRE从发病到开始治疗的时间(PSITE)为(2.33±1.24)d,7例患者(64%)发生滤泡渗漏,细菌培养结果显示6例(55%)为强致病菌,强致病菌感染是影响手术效果因素(Z=-2.196,P=0.0337)。且强致病菌感染导致的低视力的患者数量较非强致病菌感染者多(P=0.0310)。结论 PPV治疗小梁切除术后并发的BRE安全有效,强致病菌感染是影响PPV临床效果的主要影响因素。
[Abstract]:Objective to investigate the pars plana vitreous body resection (PPV) treatment of follicular associated endophthalmitis after trabeculectomy (BRE) clinical effect analysis of the visual prognostic factors. Methods a retrospective analysis from December 2000 to July 2013 in Anhui Provincial Hospital for treatment of 11 cases of PPV after trabeculectomy with BRE in patients with clinical data, observe the clinical effect of PPV statistical analysis, patient age, BRE duration, follicular leakage, influencing factors of pathogen infection may affect the efficacy of PPV in patients after PPV treatment. Results the visual acuity was improved, the difference was statistically significant (Z=, -2.386, P=0.017) trabeculectomy to the average time of BRE patients was (7.42 + 2.31) BRE years, duration from onset to initiation of treatment (PSITE) for (2.33 + 1.24) d, 7 patients (64%) had follicular leakage, bacterial culture results showed that 6 cases (55%) for pathogens, pathogen infection is strong due to the effects of surgery Z=-2.196 (P=0.0337). The number of patients with low vision caused by strong pathogen infection is more than that of non strong pathogenic bacteria (P=0.0310). Conclusion PPV is safe and effective for PPV after trabeculectomy, and the infection of strong pathogens is the main factor affecting the clinical effect of PPV.

【作者单位】：安徽医科大学附属省立医院感染办;
【分类号】：R779.6
【正文快照】： 小梁切除术作为治疗青光眼最有效的术式,在临床得到广泛应用。但手术后会发生一系列并发症,如浅前房、反应性葡萄膜炎、滤过泡瘢痕、滤过泡相关性眼内炎(bleb-related endophthalmitis,BRE)等,其中BRE对患者视功能的损害尤为严重[1],BRE的发生率为1.1%~5.4%。经睫状体扁平部玻

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