中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
4期
262-265
,共4页
陈永东%吴强%宋蓓雯%贾丽丽%朱捷%陈颖%杜新华
陳永東%吳彊%宋蓓雯%賈麗麗%硃捷%陳穎%杜新華
진영동%오강%송배문%가려려%주첩%진영%두신화
眼外伤,开放性%视力%预后指标%临床特征
眼外傷,開放性%視力%預後指標%臨床特徵
안외상,개방성%시력%예후지표%림상특정
Injuries,open globe%Visual acuity%Prognostic indicator%Clinical character
目的 观察82例开放性眼外伤的流行病学及临床特征,验证眼外伤伤情判断系统的主要指标对82例开放性眼外伤术后视力的预测效果.方法 回顾82例开放性眼外伤住院手术患者资料；记录患者的年龄、性别、受伤初始视力、受伤的类型、伤口的情况及术后最佳矫正视力.将术后视力＜0.1作为预后差的标准,并且与视力≥0.1组相比较,分析两组患者在损伤的类型、伤口分区、初始视力分级等方面的差异.结果 82例开放性眼外伤男女比例为4.41∶1,年龄集中在20 ～50岁,首位致伤器物为金属器具；最后视力≥0.1者42例,占总人数的51.22％；其中视力≥0.5者16例,占总数的19.51％；无光感及眼内炎者各1例；无行眼球摘除术者.视力＜0.1组与视力≥0.1组间的伤口分区、初始视力分级差异有统计学意义(P=0.027,P =0.025),而两组间受伤的类型差异无统计学意义(P=0.270).结论 国际眼外伤小组制定的伤情判断系统对开放性眼外伤的视力预后具有良好的预测作用.
目的 觀察82例開放性眼外傷的流行病學及臨床特徵,驗證眼外傷傷情判斷繫統的主要指標對82例開放性眼外傷術後視力的預測效果.方法 迴顧82例開放性眼外傷住院手術患者資料；記錄患者的年齡、性彆、受傷初始視力、受傷的類型、傷口的情況及術後最佳矯正視力.將術後視力＜0.1作為預後差的標準,併且與視力≥0.1組相比較,分析兩組患者在損傷的類型、傷口分區、初始視力分級等方麵的差異.結果 82例開放性眼外傷男女比例為4.41∶1,年齡集中在20 ～50歲,首位緻傷器物為金屬器具；最後視力≥0.1者42例,佔總人數的51.22％；其中視力≥0.5者16例,佔總數的19.51％；無光感及眼內炎者各1例；無行眼毬摘除術者.視力＜0.1組與視力≥0.1組間的傷口分區、初始視力分級差異有統計學意義(P=0.027,P =0.025),而兩組間受傷的類型差異無統計學意義(P=0.270).結論 國際眼外傷小組製定的傷情判斷繫統對開放性眼外傷的視力預後具有良好的預測作用.
목적 관찰82례개방성안외상적류행병학급림상특정,험증안외상상정판단계통적주요지표대82례개방성안외상술후시력적예측효과.방법 회고82례개방성안외상주원수술환자자료；기록환자적년령、성별、수상초시시력、수상적류형、상구적정황급술후최가교정시력.장술후시력＜0.1작위예후차적표준,병차여시력≥0.1조상비교,분석량조환자재손상적류형、상구분구、초시시력분급등방면적차이.결과 82례개방성안외상남녀비례위4.41∶1,년령집중재20 ～50세,수위치상기물위금속기구；최후시력≥0.1자42례,점총인수적51.22％；기중시력≥0.5자16례,점총수적19.51％；무광감급안내염자각1례；무행안구적제술자.시력＜0.1조여시력≥0.1조간적상구분구、초시시력분급차이유통계학의의(P=0.027,P =0.025),이량조간수상적류형차이무통계학의의(P=0.270).결론 국제안외상소조제정적상정판단계통대개방성안외상적시력예후구유량호적예측작용.
Objective To observe the clinical properties of 82 patients with open globe injuries ( OGIs),and to verify the efficacy of the classification system proposed by The Ocular Trauma Classification Group in predicting the visual outcome of the 82 patients.Method The clinical data of 82 OGIs patients,including the age,sex,visual acuity at admission,type of injury,location of injury and visual outcomes were retrospectively analyzed.A final best corrected visual acuity ＜ 0.1 was considered as poor outcome group and ≥0.1 as another group.The differences in the types of injury,zone location of injury and visual acuity at admission were compared between the two groups.Results The male to female ratio of the 82 patients was 4.41 ∶1.Fifty-nine (71.95％) patients were 21 -50 years old.The first cause of the injury was metallic hardwire.Forty-two (51.22％) of the 82 patients had a visual acuity ≥0.1,with 16 ( 19.51％ )cases having a visual acuity ≥0.5.One patient had no light perception,and one patient had endophthalmitis.No eyes were enucleated.The zone location of the injury and visual acuity at admission were significantly different between the two groups (P =0.027,P =0.025 ),and the injury types were not significantly different(P=0.270).Conclusion Two indicators,the zone location of the injury and visual acuity at admission,in the classification system established by The Ocular Trauma Classification Group have a better predicting effect for the postoperation visual outcome of patients with OGIs.
