玻璃体视网膜术治疗复杂性眼外伤的临床疗效

Observation on clinical effects of vitreoretinal surgery for treatment of complicated ocular trauma

摘要:

目的：探讨玻璃体视网膜手术治疗复杂性眼外伤的临床疗效。

方法：随机选取我院2009-12/2011-01复杂性眼外伤患者59例107眼，根据治疗方法不同分为两组，采用玻璃体视网膜手术(观察组31例54眼)和采用常规手术(对照组28例53眼)，回顾性分析两组患者的视力、并发症等。

结果：两组患者手术前视力情况无显著差异，治疗后观察组患者视力水平正常率(视力正常：>0.1)为31.5%，明显高于手术前与对照组手术后； 手术成功率包括功能治愈和解剖治愈：观察组患者手术成功率为87.1%，观察组患者发生继发性青光眼3眼(5.6%)，角膜变性3眼(5.6%)，视神经萎缩2眼(3.7%)，并发症发生率为14.9%，与对照组比较，差异均具有统计学意义(P<0.05)。

结论：玻璃体视网膜手术明显提高了复杂性眼外伤的治疗效果，有效降低了致盲率，是较为有效的复杂性眼外伤手术方式。

Abstract:

AIM:To discuss the clinical effects of vitreoretinal surgery for the treatment of complicated ocular trauma.

METHODS: From December 2009 to January 2011, 59 patients with complicated ocular trauma were selected as objects in our hospital. They were divided into observation group and control group, according to different treatment methods. Observation group(vitreoretinal surgery group, n=31, 54 eyes)and control group(conventional operation group, n=28, 53 eyes). A retrospective analysis was made on vision and complications.

RESULTS: There were no significantly differences for the vision before surgery in two groups. In observation group, the normal vision rate for the patients was 31.5%(normal vision: >0.01), it was obviously higher than before the surgery and after the surgery in control group. The surgery success rate included functions cure and anatomy cure: in observation group, the surgery success rate was 87.1%, secondary glaucoma in 3 cases(5.6%), corneal degeneration in 3 cases(5.6%), optic nerve atrophy in 2 case(3.7%), the incidence of complications was 14.9%, P<0.05. There were significant differences after statistical analysis.

CONCLUSION: Vitreoretinal surgery for the treatment of complicated ocular trauma can improve the curative effects and reduce the rate of blindness. It is a more effective surgery method for the treatment of complicated ocular trauma.