摘要
目的研究早期玻璃体切割术治疗开放性眼外伤合并眼后节受累的临床治疗效果。方法研究对象方便选自该院2014年9月—2018年9月收治的78例开放性眼外伤合并眼后节受累的患者,根据患者进行手术时间,将入院后1周内进行玻璃体切割术治疗患者作为观察组,共38例,另外40例患者在入院后7 d之后进行玻璃体切割术治疗作为对照组,观察2组患者临床治疗效果以及术后并发症发生率。结果通过对2组患者实施不同的治疗措施,2组患者症状均出现不同程度的好转,但是观察组患者治疗有效率92.1%显著高于对照组患者65.0%;差异有统计学意义(χ~2=12.635, P<0.05)。观察组患者出现并发症发生率3例远远低于对照组患者11例,差异有统计学意义(P<0.05)。结论对于开放性眼外伤合并眼后节受累患者实施早期玻璃体切割术,有利于提高手术质量,保证治疗效果,降低术后并发症的发生率,促进患者视力恢复,值得在临床上进行推广使用。
Objective To study the clinical effect of early vitrectomy for open ocular trauma with posterior segment involvement. Methods The study subjects were selected from 78 patients with open ocular trauma complicated with posterior segment of the eye who were admitted to our hospital from September 2014 to September 2018. According to the patient's operation time, vitrectomy was performed within 1 week after admission. As an observation group, a total of 38 patients, another 40 patients were treated with vitrectomy 7 days after admission as a control group, and the clinical treatment effect and postoperative complication rate of the two groups were observed. Results The symptoms of the two groups were improved by different treatments in the two groups. However, the effective rate of treatment in the observation group was 92.1%, which was significantly higher than that in the control group (65.0%);,the difference was statistically significant (X^2=12.635, P<0.05). The incidence of complications in the observation group was significantly lower in 3 cases than in the control group, the difference was statistically significant (P<0.05). Conclusion Early vitrectomy for patients with open ocular trauma complicated with posterior segment of the eye is beneficial to improve the quality of surgery, ensure the therapeutic effect, reduce the incidence of postoperative complications, and promote the recovery of visual acuity. It is worthy of clinical promotion.
作者
杜福勤
徐海艳
蒋官森
吕瑾
DU Fu-qin;XU Hai-yan;JIANG Guan-sen;LYU Jin(Department of Ophthalmology, the First People's Hospital of Qujing, Qujing, Yunnan Province, 655000 China)
出处
《中外医疗》
2019年第8期78-80,共3页
China & Foreign Medical Treatment
关键词
玻璃体切割术
开放性眼外伤
眼后节
Vitrectomy
Open eye trauma
Posterior segment of the eye
