目的:探讨开放性眼外伤并发眼内炎的高危因素。方法:回顾性分析开放性眼外伤315眼,分析不同因素对眼内炎发生率的影响。结果:在开放性眼外伤中,细长异物的穿刺伤、玻璃体异物存留及晶状体后囊破裂均可增加眼内炎的发生几率,差异有统计学意义;而缝合时间>24h可增加眼内炎的发生几率,但差异没有统计学意义;伤口增大未增加眼内炎的发生几率。结论:玻璃体内异物存留、细长异物的穿刺伤、晶状体后囊破裂是开放性眼外伤并发眼内炎的高危因素,在及时缝合的前提下,伤口的增大并不会增加眼内炎的发生率。

AIM:To research high risk factors for promoting endophthalmitis after open ocular injuries.METHODS:Totally 312 cases(315 eyes) with open ocular injuries were recalled and analyzed.The different factors working in promoting endophthalmitis after open ocular injuries were analyzed.RESULTS:Vitreum foreign body,rupture of post-capsule membrane and stab by slightness object significantly increased the risk of endophthalmitis,and it was statistically significant.Delay in primary repair more than 24 hours also increased the risk of endophthalmitis after open ocular injuries,but was not statistically significant.The length of the wound increased didn’t increase the risk of endophthalmitis after open ocular injuries.CONCLUSION:Vitreum foreign body,rupture of post-capsule membrane and stab by slightness object are the high risk factors for promoting endophthalmitis after open ocular injuries.Based on the wound repaired in time,the length of the wound increased didn’t increase the risk of endophthalmitis after open ocular injuries.

R779.6