木材致眼外伤的临床分析

S. Gu, Jian-wei Liu
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摘要

目的分析木材致眼外伤的临床特点及治疗方法。方法回顾性分析潍坊医科大学附属医院2018年8月至2018年12月收治的25例木质眼外伤患者的25只眼。结果闭合性眼外伤15例,并发症有前房积血、晶状体损伤、睫状体裂。3种并发症2例,2种并发症2例,1种并发症11例。15例均行晶状体手术,其中4例行睫状体缝合,10例行玻璃体切除联合晶状体手术。10例开放性眼外伤中,Ⅰ区损伤范围7例,Ⅱ区2例,Ⅲ区1例。10例患者行一期清创缝合术,其中4例合并晶状体手术,2例合并玻璃体手术,10例合并玻璃体手术。A组并发症类型与视力障碍的比较,差异有统计学意义(P<0.05)。B组外伤部位与视力损害的差异有统计学意义(P<0.05)。两组术后视力差异有统计学意义。结论闭合性眼外伤并发症的增加对视力损害有明显影响。损伤范围是影响开放性眼外伤视力预后的重要因素。Ⅰ区损伤患者的视力优于Ⅱ区和Ⅲ区。开放性眼外伤的视力预后较闭合性眼外伤差。关键词:外伤,眼,木材;严重损伤;方法,手术
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The clinical analysis of the ocular trauma caused by wood
Objective To analyze the clinical features and treatment of the ocular trauma caused by wood. Methods A total of 25 eyes of 25 cases with ocular trauma caused by wood from Aug. 2018 to Dec. 2018 in Affiliated Hospital of Weifang Medical University were retrospectively analyzed. Results There were 15 cases with closed ocular trauma, the complications included hyphema, lens injury and cyclodialysis cleft. There were 2 cases with 3 kinds of complications, 2 cases with 2 kinds of complications and 11 cases with only 1 kind of complication. All the 15 cases underwent lens surgery, and among them 4 cases received cilliary suture and 10 cases received vitrectomy combined with lens surgery. Among 10 cases with open ocular trauma, the range of injury in zone Ⅰ was 7 cases, 2 cases in zone Ⅱ and 1 case in zone Ⅲ. The 10 cases underwent one stage debridement and suturing, which combined with lens surgery in 4 cases, 2 cases with vitrectomy and 10 cases with vitrectomy and lens surgery. The difference was statistically significant between types of complications in group A and visual acuity impairment (P<0.05). The difference was statistically significant between locations of trauma and visual acuity impairment in group B (P<0.05). The difference in postoperative visual acuity was statistically significant between two groups. Conclusion With the increase of complications in closed ocular trauma, the visual impariment is obviously influenced. The range of injury is a significant factor affecting visual prognosis in open ocular trauma. The visual acuity of patient with injury in zoneⅠis better than that in zone Ⅱ and zoneⅢ. Open ocular trauma has a worse prognosis of visual acuity than that of closed ocular trauma. Key words: Trauma, ocular, wood; Severity, injury; Method, surgery
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