外伤后球部开放性损伤儿科患者的临床和流行病学特征

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Cukurova Medical Journal Pub Date : 2023-09-30 DOI:10.17826/cumj.1282325
Gamze YILDIRIM BİÇER, Kürşad Ramazan ZOR
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 Materials and Methods: Medical records of patients under the age of 18 who were diagnosed with open globe injury between January 2012 and December 2022 were retrospectively reviewed. Demographic data of the patients such as age, gender, time of injury, area of injury, type of injury, and cause of injury were recorded. Initial and final visual acuity and ocular findings at admission were recorded. Factors associated with final visual acuity were evaluated.
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引用次数: 0

摘要

目的:本研究的目的是了解本地区儿童外伤性开放球损伤的流行病学和临床特征。材料与方法:回顾性分析2012年1月至2022年12月期间诊断为开放性球损伤的18岁以下患者的医疗记录。记录患者的年龄、性别、损伤时间、损伤部位、损伤类型、损伤原因等人口统计学资料。记录入院时的初始和最终视力和眼部检查结果。评估与最终视力相关的因素。 结果:患者平均年龄为7.62±4.22岁。患者以男性居多(n= 28,66,7 %)。右眼损伤最多(n=30, 71.4%)。约72.5% (n=29)的患者初始视力低于20/200。50% (n=20)患者的最终视力低于20/200。最常见的损伤类型为穿透性创伤(n=18, 42.9%)。创伤最高的区域为I区(n=30,占71.4%)。最具创伤性的材料是金属物体(n=13, 31%)。最常见的临床表现是晶状体损伤(n=18, 42.9%)。虹膜损伤、晶状体损伤、前房积血、玻璃体出血、视网膜脱离、眼内炎、损伤类型、损伤物质、损伤区域与最终视力显著相关。 结论:在本地区,儿童年龄组中开放球损伤多见于12岁以下的男孩。穿透和切割金属物体似乎是造成创伤的最重要原因。家长和所有照顾者应告知开放性损伤的严重性,以防止可能的伤害。
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Travma sonrası açık glob yaralanması olan pediatrik hastaların klinik ve epidemiyolojik özellikleri
Purpose: The aim of this study was to determine the epidemiology and clinical features of pediatric traumatic open globe injuries in our region. Materials and Methods: Medical records of patients under the age of 18 who were diagnosed with open globe injury between January 2012 and December 2022 were retrospectively reviewed. Demographic data of the patients such as age, gender, time of injury, area of injury, type of injury, and cause of injury were recorded. Initial and final visual acuity and ocular findings at admission were recorded. Factors associated with final visual acuity were evaluated. Results: The mean age of the patients was 7.62 ±4.22 years. The majority of the patients were male (n=28, 66,7%). The right eye was the most injured (n=30, 71.4%). The initial visual acuity of approximately 72.5% (n=29) of the patients was worse than 20/200. And the final visual acuity of 50% of the patients (n=20) was below 20/200. The most common type of injury was penetrating trauma (n=18, 42.9%). The region with the highest trauma was Zone I (n=30, 71.4%). The most traumatic materials were metallic objects (n=13, 31%). The most common accompanying clinical finding was lens damage (n=18, 42.9%). Iris damage, lens damage, hyphema, vitreous hemorrhage, retinal detachment, endophthalmitis, type of injury, material causing the injury, and injury area were significantly associated with final vision. Conclusion: In our region, open globe injuries were mostly observed in boys under 12 years in the pediatric age group. Penetrating and cutting metallic objects seem to be the most important cause of trauma. Parents and all caregivers should be informed of the seriousness of open globe injuries to prevent possible injuries.
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来源期刊
Cukurova Medical Journal
Cukurova Medical Journal MEDICINE, GENERAL & INTERNAL-
自引率
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发文量
159
审稿时长
12 weeks
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