白内障超声乳化摘除联合人工晶状体植入术后感染性眼内炎的相关因素分析

发布时间：2018-06-03 06:00

本文选题：白内障超声乳化摘除术 + 危险因素　；参考：《中华医院感染学杂志》2017年17期

【摘要】：目的探讨白内障超声乳化摘除联合人工晶状体植入术术后发生感染性眼内炎的危险因素,为临床制定预防措施提供依据。方法对2011年1月-2016年12月医院64 469例接受白内障超声乳化摘除联合人工晶状体植入手术患者的临床资料进行回顾性分析,分析术后发生感染性眼内炎的相关危险因素。结果手术后发生感染性眼内炎15例,感染率为0.023%;植入聚甲基丙烯酸甲酯(PMMA)人工晶状体、手术切口3.2mm、手术时间30min、前房无注入抗菌药物、白内障超声乳化联合人工晶状体植入术联合玻璃体手术(或张力环植入术)、白内障超声乳化联合人工晶状体巩膜缝线固定术等复杂的白内障手术、曾接受抗青光眼滤过手术治疗、合并糖尿病是白内障患者手术后发生感染性眼内炎的独立危险因素(P0.05)。结论白内障患者术后发生感染性眼内炎受多种因素影响,应采取小切口超声乳化白内障摘除手术方式,避免植入甲基丙烯酸甲酯(PMMA)人工晶状体,手术结束时前房注入抗菌药物等相应措施,以降低手术后感染性眼内炎的发生率。
[Abstract]:Objective to investigate the risk factors of infective endophthalmitis after phacoemulsification combined with intraocular lens implantation (IOL) in order to provide evidence for clinical prevention. Methods the clinical data of 64 469 patients undergoing phacoemulsification combined with intraocular lens implantation in our hospital from January 2011 to December 2016 were retrospectively analyzed and the risk factors of infective endophthalmitis were analyzed. Results Infectious endophthalmitis occurred in 15 cases, the infection rate was 0.023.The intraocular lens was implanted with PMMA, the incision was 3.2 mm, the operation time was 30 min, the anterior chamber was not injected with antimicrobial agents. Cataract phacoemulsification combined with intraocular lens implantation combined with vitrectomy (or tension ring implantation, phacoemulsification combined with intraocular lens scleral suture fixation, etc.) After anti-glaucoma filtering surgery, diabetes is an independent risk factor for infective endophthalmitis after cataract surgery. Conclusion Infectious endophthalmitis in cataract patients is affected by many factors. Small incision phacoemulsification should be used to remove cataract so as to avoid the implantation of PMMA intraocular lens. In order to reduce the incidence of infective endophthalmitis after operation, antibiotics were injected into anterior chamber at the end of operation.
【作者单位】：中山大学中山眼科中心;
【基金】：广东省科学计划基金资助项目(2014A020209030)
【分类号】：R779.6

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