CAJ | 학술논문

目的观察玻璃体切割手术联合眼内填充治疗重症眼内炎的临床效果.方法回顾分析临床确诊为重症眼内炎的66例患者66只眼的临床资料.其中,外伤性重症眼内炎44例44只眼,内眼手术后重症眼内炎22例22只眼.所有患者均行玻璃体切割手术联合眼内填充治疗.66只患眼中,手术中摘除球内异物者19只眼,摘除晶状体者25只眼,摘除人工晶状体者6只眼,巩膜环扎者16只眼;行硅油填充者52只眼,行C3F8填充者14只眼.手术后随访时间2.0～25.0个月,平均随访时间7.9个月.对比分析手术前后视力和眼压变化情况.结果所有患者炎症均得到控制,治疗有效率为59.10%.随访期间无眼内炎复发和视网膜脱离发生.66只患眼中,58只眼视力提高,占87.90%;5只眼视力不变,占7.60%;3只眼视力下降,占4.55%.手术后视力较手术前明显提高,差异有统计学意义(x2=45.27,P＜0.05).手术后眼压较手术前增高,差异也有统计学意义(t=-3.23,P=0.02).结论玻璃体切割手术联合眼内填充是治疗重症眼内炎的有效方法.
목적 관찰파리체절할수술연합안내전충치료중증안내염적림상효과.방법 회고분석림상학진위중증안내염적66례환자66지안적림상자료.기중,외상성중증안내염44례44지안,내안수술후중증안내염22례22지안.소유환자균행파리체절할수술연합안내전충치료.66지환안중,수술중적제구내이물자19지안,적제정상체자25지안,적제인공정상체자6지안,공막배찰자16지안;행규유전충자52지안,행C3F8전충자14지안.수술후수방시간2.0～25.0개월,평균수방시간7.9개월.대비분석수술전후시력화안압변화정황.결과 소유환자염증균득도공제,치료유효솔위59.10%.수방기간무안내염복발화시망막탈리발생.66지환안중,58지안시력제고,점87.90%;5지안시력불변,점7.60%;3지안시력하강,점4.55%.수술후시력교수술전명현제고,차이유통계학의의(x2=45.27,P＜0.05).수술후안압교수술전증고,차이야유통계학의의(t=-3.23,P=0.02).결론 파리체절할수술연합안내전충시치료중증안내염적유효방법.
Objective To observe the effects of vitrectomy combined with endotamponade on severe endophthalmitis. Methods The clinical data of 44 patients (44 eyes) of posttraumatic and 22 patients (22 eyes) of postoperative severe endophthalmitis were retrospectively analyzed. All patients were treated by vitrectomy and endotamponade. Intraocular foreign body removal (19 eyes), lens extraction (25 eyes),intraocular lens removal (six eyes) and scleral buckling (16 eyes) were performed. Tamponade with silicone oil (52 eyes) or C3F8 gas (14 eyes) was also performed. Postoperative follow-up ranged from two to 25 months, with the mean of 7.9 months. The visual acuity(VA)and intraocular pressure before and after surgery were comparatively analyzed. Results Inflammation of all the patients were controlled,the effective rate was 59.10%. There was no recurrence and retinal detachment. Among the 66 eyes, postoperative VA of 58 eyes (87. 90 % ) increased, five eyes ( 7.60 % ) didn't change and three eyes (4.55% ) decreased, the difference was statistically significant(x2= 45.27, P＜0. 05). The postoperative intraocular pressure was higher than that before surgery, the difference was statistically significant (t =- 3.23, P ＜ 0.05).Conclusions Vitrectomy combined with endotamponade is an effective way to cure severe endophthalmitis.It can improve the visual acuity and intraocular pressure.