摘要
目的探讨玻璃体手术联合曲安奈德在眼后段外伤的疗效观察。方法回顾性分析2010年6月至2012年6月在我院眼科住院行玻璃体视网膜手术的眼后段外伤患者60例，随机分为治疗组（手术联合曲安奈德玻璃体腔注射）和对照组（玻璃体视网膜手术治疗），对比两组临床疗效。结果两组患者眼后段损伤玻璃体积血、视网膜出血、异物、网脱比例无显著差异（P〉0．05）治疗组术后视力提高25眼（78．13％），对照组术后视力提高20眼（58．82％），差异有显著性（P〈0．05）两组患者术后并发症前房反应2＋、网脱有显著差异（P〈0．05），高眼压、白内障无显著差异（JP〉0．05）。结论玻璃体手术联合曲安奈德治疗眼后段外伤效果显著，值得推广。
Objective To observe the curative effects of vitrectomy combined with triamcinoloneacetonide （TA） injection in treatment for posterior segment eye trauma. Methods Retrospective analysis was carried out to 60 patients in our hospital from June 2010 to June 2012 in ophthalmology hospital line of vitreoretinal operation of ocular trauma, they were randomly divided into treatment group given intravitreal operation combined with TA injection and vitreoretinal operation treatment observation group, comparative observation of the curative effect of two groups were analyzed. Results Among the two groups, the posterior segment of the eye injury of vitreous hemorrhage, retinal hemorrhage, foreign body removal, net off, showed no significant difference （P〉 0.05 ）; the postoperative visual acuity in the treatment group improved in 25 eyes by 78.13%, 5 eyes remained unchanged accounting 15.63%, decreased in 1 eye （3. 13%）, the postoperative visual acuity of the observation group improved in 20 eyes accounting 58.82%, remained unchanged in 10 eyes by 29.41%, decreased in 4 eyes （11.76%）, there was significant difference between two groups （P〈 0.05 ）; postoperative complications of anterior chamber reaction 2＋, net off of two groups had significant difference （P〈 0.05 ）, high intraocular pressure, cataract patients in the two groups had no significant difference（P〉 0.05）. Conclusion Vitreous operation combined with TA injection in the treatment of posterior segment ocular trauma has significant effect, which is worth of popularizing.
出处
《国际医药卫生导报》
2012年第20期2987-2989,共3页
International Medicine and Health Guidance News
关键词
玻璃体手术
曲安奈德
眼后段外伤
Vitreous operatior Triamcinolone acetonide （TA） Posterior segment ocular trauma
