CAJ | 학술논문

目的探讨玻璃体切除术治疗外源性眼内炎的中、远期效果及预后因素.方法回顾性分析40例(40眼)行玻璃体切除术的外源性眼内炎的临床资料,首先对中、远期疗效进行分析,然后对预后因素进行多元Cox回归分析(Cox比例风险回归模型).结果术后患者视力较术前有显著改善(P＜0.05).术后1周出现不同程度的角膜水肿及前房炎症渗出物;2周后炎症反应缓解、积脓基本消失;3-6月随访期间均未见复发或炎症扩散,7例,于硅油刺激出现后囊浑浊.经多元Cox分析,并发性白内障、视网膜血管炎、晶状体摘出术、术前眼压及术后1周视力,均为影响眼内炎预后的相关因素.结论玻璃体切除术治疗外源性眼内炎的疗效显著,视力明显提高;影响眼内炎的主要因素包括并发性白内障、视网膜血管炎、晶状体摘出术、术前眼压以及术后1周视力,应对其加以重视,以改善患者预后情况.
목적 탐토파리체절제술치료외원성안내염적중、원기효과급예후인소.방법 회고성분석40례(40안)행파리체절제술적외원성안내염적림상자료,수선대중、원기료효진행분석,연후대예후인소진행다원Cox회귀분석(Cox비례풍험회귀모형).결과 술후환자시력교술전유현저개선(P＜0.05).술후1주출현불동정도적각막수종급전방염증삼출물;2주후염증반응완해、적농기본소실;3-6월수방기간균미견복발혹염증확산,7례,우규유자격출현후낭혼탁.경다원Cox분석,병발성백내장、시망막혈관염、정상체적출술、술전안압급술후1주시력,균위영향안내염예후적상관인소.결론 파리체절제술치료외원성안내염적료효현저,시력명현제고;영향안내염적주요인소포괄병발성백내장、시망막혈관염、정상체적출술、술전안압이급술후1주시력,응대기가이중시,이개선환자예후정황.
Objective To investigate the efficacy of vitrectomy and the prognostic factors of endophthalmitis.Methods A retrospective analysis of 40 eyes of 40 cases of vitrectomy for exogenous endophthalmitis was performed.The long-term effects were analyzed,and the prognostic factors were analyzed by multivariate Cox analysis (Cox' s proportional hazards regression model).Results The postoperative visual acuity was improved significantly (P ＜ 0.05) after treatment.One week after the operation,the corneal edema and anterior chamber inflammatory exudate were noted and relieved within two weeks postoperatively.During the 3-6 months follow-up,there was no recurrence or inflammation.Posterior capsule opacification occured in 7 cases due to silicone oil stimulation.The results of multiple Cox showed that complicated cataract,retinal vasculitis,lens extraction,preoperative intraocular pressure and visual acuity 1 week after operation were the related factors for the prognosis of endophthalmitis.Conclusion Vitrectomy can improve visual acuity significantly for exogenous endophthalmitis.The main prognostic factors include cataract,retinal vasculitis,lens extraction,preoperative IOP and visual acuity at 1 week after operation.