玻璃体切割手术时机选择对眼外伤预后的影响
发布时间：2018-11-19 20:31
【摘要】：目的分析玻璃体切割手术时机选择对眼外伤预后的影响。方法选取我院就诊的150例单眼外伤并行玻璃体切割手术患者作为研究对象,对所有患者行玻璃体切割手术的时机和预后进行分析。结果本研究150例患眼中,手术后视力较手术前提高者124眼(82.67%),视力不变23眼(15.33%),视力下降3眼(2.00%)。150例患眼术后共治愈117例,治愈率为78.00%。患者在外伤后7 d内行玻璃体手术者有39例,治愈率为69.23%;7~14 d内行玻璃体手术者有48例,治愈率为93.75%;15~21 d内行玻璃体手术者有36例,治愈率为75.00%;30 d行玻璃体手术者有27例,治愈率为66.67%。与其他治疗时间比较,7~14 d内行玻璃体手术患者的治愈率较高(P0.05)。外伤后7~14 d内1次手术视网膜复位成功率明显高于其他时间段(P0.05);外伤后30 d 2次/多次手术复位成功率明显高于其他时间段(P0.05)。外伤后7 d内39眼中34眼(87.18%)眼球保留,7~14 d 48眼中47眼(97.92%)眼球保留,15~21 d 36眼中33眼(91.67%)眼球保留,30 d 27眼中19眼(70.37%)眼球保留,外伤后7~14 d内的眼球保留率明显高于其他时间段(P0.05)。结论眼外伤后7~14 d是玻璃体切割手术的最好时机,尽早行玻璃体切割手术,可以最大程度提高手术视网膜复位率和眼球保存率。
[Abstract]:Objective to analyze the influence of vitrectomy timing on the prognosis of ocular trauma. Methods 150 patients with single eye trauma and vitrectomy were selected as the study objects. The timing and prognosis of vitrectomy were analyzed. Results the visual acuity was improved in 124 eyes (82.67%), the visual acuity was unchanged in 23 eyes (15.33%), and the visual acuity was decreased in 3 eyes (2.00%). The cure rate was 78.00. There were 39 cases of vitreous surgery within 7 days after trauma, 48 cases of vitreous surgery within 714 days and 36 cases of vitreous surgery within 15 21 days. The cure rate was 75.00%. There were 27 cases of vitreous surgery in 30 days and the cure rate was 66. 67%. Compared with other treatment time, the cure rate of vitreous surgery patients within 14 days was higher (P0.05). The success rate of retinal reattachment in 1 operation was significantly higher than that in other time periods (P0.05), and the successful rate of reattachment twice / multiple times in 30 days after trauma was significantly higher than that in other time periods (P0.05). Within 7 days, 34 eyes (87.18%), 47 eyes (97.92%), 33 eyes (91.67%) and 19 eyes (70.37%), respectively. The eyeball retention rate was significantly higher within 14 days after trauma than in other time periods (P0.05). Conclusion Vitrectomy is the best time for vitrectomy at 7d and 14d after ocular trauma. Vitrectomy can improve retinal reattachment rate and eyeball preservation rate.
【作者单位】： 渭南市第二医院眼科;
【分类号】：R779.1
[Abstract]:Objective to analyze the influence of vitrectomy timing on the prognosis of ocular trauma. Methods 150 patients with single eye trauma and vitrectomy were selected as the study objects. The timing and prognosis of vitrectomy were analyzed. Results the visual acuity was improved in 124 eyes (82.67%), the visual acuity was unchanged in 23 eyes (15.33%), and the visual acuity was decreased in 3 eyes (2.00%). The cure rate was 78.00. There were 39 cases of vitreous surgery within 7 days after trauma, 48 cases of vitreous surgery within 714 days and 36 cases of vitreous surgery within 15 21 days. The cure rate was 75.00%. There were 27 cases of vitreous surgery in 30 days and the cure rate was 66. 67%. Compared with other treatment time, the cure rate of vitreous surgery patients within 14 days was higher (P0.05). The success rate of retinal reattachment in 1 operation was significantly higher than that in other time periods (P0.05), and the successful rate of reattachment twice / multiple times in 30 days after trauma was significantly higher than that in other time periods (P0.05). Within 7 days, 34 eyes (87.18%), 47 eyes (97.92%), 33 eyes (91.67%) and 19 eyes (70.37%), respectively. The eyeball retention rate was significantly higher within 14 days after trauma than in other time periods (P0.05). Conclusion Vitrectomy is the best time for vitrectomy at 7d and 14d after ocular trauma. Vitrectomy can improve retinal reattachment rate and eyeball preservation rate.
【作者单位】： 渭南市第二医院眼科;
【分类号】：R779.1
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