玻璃体切除联合巩膜扣带术对开放性眼球伤临床疗效分析(1)
摘 要：目的 探究玻璃体切除与巩膜扣带术联合治疗开放性眼球伤的临床疗效、炎症反应及并发症发生率。方法 选取2015年9月～2016年9月巴东县人民医院收治的110例(110眼)开放性眼球伤患者临床资料进行分析，按随机方法进行分组，每组55例，对照组行视网膜切开术治疗，研究组行玻璃体切除与巩膜扣带术联合治疗，比较两组临床疗效、炎症反应及并发症。结果 研究组视网膜复位率81.81%及视力上升率54.54%，高于对照组63.63%、36.36%，差异有统计学意义(P<0.05)；研究组出血3.63%、高眼压7.27%、炎症反应发生率0，低于对照组32.72%、25.45%、41.81%，差异有统计学意义(P<0.05)。结论 巩膜扣带术与玻璃体切除术联合治疗有助于提升开放性眼球伤临床疗效，促患者视网膜复位、视力上升，且术后炎症反应、出血及高眼压等并发症发生率较低，具推广价值。
关键词：开放性眼球伤；玻璃体切除；巩膜扣带术；炎症反应；并发症
中图分类号：R779.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.033
, 百拇医药
文章编号：1006-1959(2018)07-0103-03
Clinical Analysis of Vitrectomy Combined with Scleral Buckling in the Treatment of Open Ocular Injury
TIAN Jian-hua
(Department of Ophthalmology，People's Hospital of Badong County，Badong 444300，Hubei，China)
Abstract：Objective To explore the clinical efficacy， inflammatory response and complications of vitrectomy combined with scleral buckling in the treatment of open eyeball injury.Methods From September 2015～September 2016 in Badong People's Hospital were 110 cases(110 eyes)of open eye injury in patients with clinical data were analyzed and grouped according to the random method，55 cases in each group，the control group underwent surgery for the treatment of retinal incision，study group underwent vitreous body resection and scleral buckling combined with treatment，inflammatory reaction and complications were compared between the two groups of clinical the curative effect.Results The research group of retinal reattachment was 81.81% and the rate of visual acuity increased 54.54%，63.63%，36.36% higher than the control group，the difference was statistically significant(P<0.05)；In the study group， the incidence of bleeding 3.63%，high intraocular pressure 7.27%，and the incidence of inflammatory reaction were 0，lower than that of the control group 32.72%，25.45%，41.81%，and the difference was statistically significant(P<0.05).Conclusion Combined scleral buckling and vitrectomy can improve the clinical efficacy of open ocular injury，promote retinal reattachment，improve visual acuity， and lower the incidence of postoperative inflammatory reaction，hemorrhage and high intraocular pressure.It has the promotion value.
, 百拇医药
Key words：Open eye injury；Vitrectomy；Scleral buckling；Inflammatory reaction；Complications
开放性眼球伤临床较为常见且病情复杂，多合并视网膜脱落、玻璃体积血、眼内容脱出等，且伤后炎症、增生性玻璃体视网膜病变(PVR)将加重患者已有损害，造成继发性改变[1]。因此，临床予以及时有效治疗，从而避免视力丧失，改善患者生活质量。本研究选取巴东县人民医院110例患者资料分析，明确玻璃体切除与巩膜扣带术联合治疗的效果，现报告如下。
1资料与方法
1.1 一般资料 选取2015年9月～2016年9月巴东县人民医院收治的110例开放性眼球伤患者临床资料进行分析，將临床资料完整、签署知情同意书者纳入，将并感染性眼内炎、并外伤性脉络膜上腔出血者排除，按随机进行分组，每组55例。对照组男性30例，女性25例，年龄20～53岁，平均年龄(29.37±3.16)岁；术前眼压7～23 mmHg，平均眼压(12.65±0.64)mmHg。研究组男性31例，女性24例，年龄21～54岁，平均年龄(29.45±3.23)岁；术前眼压8～24 mmHg，平均眼压(12.79±0.72)mmHg。两组基线资料对比，无统计学意义(P>0.05)，具可比性。, http://www.100md.com(田建华)
关键词：开放性眼球伤；玻璃体切除；巩膜扣带术；炎症反应；并发症
中图分类号：R779.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.033
, 百拇医药
文章编号：1006-1959(2018)07-0103-03
Clinical Analysis of Vitrectomy Combined with Scleral Buckling in the Treatment of Open Ocular Injury
TIAN Jian-hua
(Department of Ophthalmology，People's Hospital of Badong County，Badong 444300，Hubei，China)
Abstract：Objective To explore the clinical efficacy， inflammatory response and complications of vitrectomy combined with scleral buckling in the treatment of open eyeball injury.Methods From September 2015～September 2016 in Badong People's Hospital were 110 cases(110 eyes)of open eye injury in patients with clinical data were analyzed and grouped according to the random method，55 cases in each group，the control group underwent surgery for the treatment of retinal incision，study group underwent vitreous body resection and scleral buckling combined with treatment，inflammatory reaction and complications were compared between the two groups of clinical the curative effect.Results The research group of retinal reattachment was 81.81% and the rate of visual acuity increased 54.54%，63.63%，36.36% higher than the control group，the difference was statistically significant(P<0.05)；In the study group， the incidence of bleeding 3.63%，high intraocular pressure 7.27%，and the incidence of inflammatory reaction were 0，lower than that of the control group 32.72%，25.45%，41.81%，and the difference was statistically significant(P<0.05).Conclusion Combined scleral buckling and vitrectomy can improve the clinical efficacy of open ocular injury，promote retinal reattachment，improve visual acuity， and lower the incidence of postoperative inflammatory reaction，hemorrhage and high intraocular pressure.It has the promotion value.
, 百拇医药
Key words：Open eye injury；Vitrectomy；Scleral buckling；Inflammatory reaction；Complications
开放性眼球伤临床较为常见且病情复杂，多合并视网膜脱落、玻璃体积血、眼内容脱出等，且伤后炎症、增生性玻璃体视网膜病变(PVR)将加重患者已有损害，造成继发性改变[1]。因此，临床予以及时有效治疗，从而避免视力丧失，改善患者生活质量。本研究选取巴东县人民医院110例患者资料分析，明确玻璃体切除与巩膜扣带术联合治疗的效果，现报告如下。
1资料与方法
1.1 一般资料 选取2015年9月～2016年9月巴东县人民医院收治的110例开放性眼球伤患者临床资料进行分析，將临床资料完整、签署知情同意书者纳入，将并感染性眼内炎、并外伤性脉络膜上腔出血者排除，按随机进行分组，每组55例。对照组男性30例，女性25例，年龄20～53岁，平均年龄(29.37±3.16)岁；术前眼压7～23 mmHg，平均眼压(12.65±0.64)mmHg。研究组男性31例，女性24例，年龄21～54岁，平均年龄(29.45±3.23)岁；术前眼压8～24 mmHg，平均眼压(12.79±0.72)mmHg。两组基线资料对比，无统计学意义(P>0.05)，具可比性。, http://www.100md.com(田建华)