玻璃体切割术后眼内炎的临床分析

发布时间：2018-06-26 07:36

本文选题：玻璃体切割术 + 眼内炎　；参考：《吉林大学》2011年硕士论文

【摘要】：目的：报告玻璃体切割术后眼内炎的发生率、危险因素、预后。资料：我们统计了我院2001.01～2010.12玻璃体切割术病例10693例,术后发生眼内炎6例,除外入院前诊断为眼外伤及眼内炎病例。方法：所有符合条件的病例信息采集如下：年龄、性别、眼别、全身病史、入院日期、手术指征、手术过程、发病时间、治疗过程、细菌培养、培养物、术前及术后视力比较。术前空腹血糖控制在8.3mmol/L以下,血压控制在160/100mmHg以下。预后视力判断标准为：提高2行视为上升,下降2行视为下降,在上下2行之内视为无变化。结果： 10年间,我院玻璃体切割术后眼内炎发生率为0.056%(6/10693),以右眼4例,多见于中老年人及糖尿病患者。细菌培养结果为：嗜水汽单胞菌1例,细菌培养阴性为2例。视力结果为无光感2例,手动及指数各1例,0.05、0.16各1例。结论：玻璃体切割术后眼内炎发生率相当低,多见于糖尿病及中老年患者,预后视力与感染程度有关。
[Abstract]:Objective: to report the incidence, risk factors and prognosis of endophthalmitis after vitrectomy. Data: we counted 10693 cases of vitrectomy and 6 cases of endophthalmitis, except those diagnosed as ocular trauma and endophthalmitis before admission. Methods: all eligible cases were collected as follows: age, sex, eye type, systemic history, admission date, surgical indication, operative process, onset time, treatment process, bacterial culture, and culture. Preoperative and postoperative visual acuity were compared. Preoperative fasting blood glucose was below 8.3 mmol / L and blood pressure was below 160 / 100 mmHg. The prognostic criteria of visual acuity were as follows: 2 lines of improvement were regarded as ascending, 2 lines of decrease as decreasing, and 2 lines as no change. Results: the incidence of endophthalmitis after vitrectomy in our hospital was 0.056% (6 / 10693). The results of bacterial culture were as follows: 1 case of Aeromonas hydrophila and 2 cases of negative bacterial culture. The visual acuity was 2 cases without light sensation, 1 case with manual and 1 case with index 0. 05 0. 16 cases each. Conclusion: the incidence of endophthalmitis after vitrectomy is very low.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R779.6

【参考文献】