武警医学2024，Vol.35Issue(11)：921-925,5.
175例累及后节的眼球穿通伤患者的临床特征及手术预后
Clinical features and surgical prognosis of 175 patients with ocular penetrating injury in-volving posterior segment
摘要
Abstract
Objective To study the clinical features and surgical prognosis of patients with ocular penetrating injury involving pos-terior segment.Methods A multicenter retrospective study was conducted.A total of 175 patients(175 eyes)with ocular penetrating injury involving posterior segment who underwent pars plana vitrectomy(PPV)in three hospitals of Sichuan province from January 2013 to Decem-ber 2022 were collected,and the clinical features,the time from injury to hospitalization,and the time from injury to PPV were recorded.The patients were followed up 1 to 6 months after PPV,Visual acuity,intraocular pressure,refractive media,retinal reattachment,enuclea-tion of eyeballs and complications were recorded at each follow-up.According to the final follow-up results,the surgical prognosis was evalu-ated as anatomical recovery,functional recovery,and non-recovery.Results All patients were monocular affected,the ratio of male to fe-male was 12.5:1,and the average age was 46.6±13.8 years old.Metal objects with high speed were the most common cause of injury(51.4%),and 56.0%of the affected eyes had intraocular foreign bodies,of which metallic foreign bodies accounted for 84.7%.Zone 1 was the most common injury area(68.6%),and preoperative visual acuity were mainly distributed in LP-0.02(76.0%),usually accompanied by lens injury(77.1%),anterior chamber vitreous hemorrhage(53.7%)and retinal detachment(38.9%).Most patients were admitted within 24 hours(58.9%),PPV were mainly performed within two weeks after injury(84.6%),and silicone oil filling accounted for 33.1%.A total of 49.1%of the affected eyes were anatomically cured,45.7%were functionally cured,and the total cure rate was 94.9%,5.1%were not cured,and 1.1%were enucleated.The overall incidence of postoperative complications was 17.1%.Conclusions The main clinical features of pa-tients with ocular penetrating injury involving the posterior segment are middle-aged males with single eye involvement,mostly caused by high-speed metal objects and in Zone 1,usually accompanied by intraocular metal foreign bodies,intraocular bleeding,lens damage and retinal detach-ment,with serious visual impairment.PPV is mainly performed within two weeks after injury,with good surgical effect and prognosis.关键词
眼球穿通伤/玻璃体切割手术/临床特征/预后Key words
ocular penetrating injury/vitrectomy/clinical feature/prognosis分类
医药卫生引用本文复制引用
曾仁攀,王丹玲,钱平,张伟,陈彬,黎晗,王国平..175例累及后节的眼球穿通伤患者的临床特征及手术预后[J].武警医学,2024,35(11):921-925,5.基金项目
武警部队某课题资助 （）
乐山"嘉州英才培育计划"项目(乐人才办2021-5号) （乐人才办2021-5号）
