临床眼科杂志
臨床眼科雜誌
림상안과잡지
JOURNAL OF CLINICAL OPHTHALMOLOGY
2015年
2期
143-146
,共4页
董凯%吴章友%孙思勤%柯根杰
董凱%吳章友%孫思勤%柯根傑
동개%오장우%손사근%가근걸
眼内炎%病因%治疗
眼內炎%病因%治療
안내염%병인%치료
Endophthalmitis%Etiology%Clinical treatment
目的:探讨感染性眼内炎患者的致病因素和临床治疗效果。方法回顾性分析安徽省立医院2013年1月至2014年6月收治的29例(29只眼)感染性眼内炎患者,分析其致病原因、治疗方法和治疗效果。结果29例感染性眼内炎患者主要致病原因是内眼手术(55.2%)和眼外伤(37.9%);病原体检出率为24.1%,主要致病菌是革兰阳性球菌,以表皮葡萄球菌为多见;7只眼行前房冲洗联合玻璃体腔注药术,6只眼行单纯玻璃体腔注药术,15只眼行玻璃体视网膜联合手术,1只眼行眼内容剜除术,治疗结束共2只眼因感染无法控制而行眼内容剜除术,眼球保存率93.1%,术后平均最佳矫正视力为2.8±1.4,较术前明显提高(1.6±1.0),有统计学意义( t =-6.6, P <0.01)。结论感染性眼内炎常见的致病因素有眼外伤和内眼手术,常见的病原体为革兰阳性球菌,治疗上根据眼内炎的严重程度而采用合适的治疗方案,是控制炎症,挽救视功能的有效措施。
目的:探討感染性眼內炎患者的緻病因素和臨床治療效果。方法迴顧性分析安徽省立醫院2013年1月至2014年6月收治的29例(29隻眼)感染性眼內炎患者,分析其緻病原因、治療方法和治療效果。結果29例感染性眼內炎患者主要緻病原因是內眼手術(55.2%)和眼外傷(37.9%);病原體檢齣率為24.1%,主要緻病菌是革蘭暘性毬菌,以錶皮葡萄毬菌為多見;7隻眼行前房遲洗聯閤玻璃體腔註藥術,6隻眼行單純玻璃體腔註藥術,15隻眼行玻璃體視網膜聯閤手術,1隻眼行眼內容剜除術,治療結束共2隻眼因感染無法控製而行眼內容剜除術,眼毬保存率93.1%,術後平均最佳矯正視力為2.8±1.4,較術前明顯提高(1.6±1.0),有統計學意義( t =-6.6, P <0.01)。結論感染性眼內炎常見的緻病因素有眼外傷和內眼手術,常見的病原體為革蘭暘性毬菌,治療上根據眼內炎的嚴重程度而採用閤適的治療方案,是控製炎癥,輓救視功能的有效措施。
목적:탐토감염성안내염환자적치병인소화림상치료효과。방법회고성분석안휘성립의원2013년1월지2014년6월수치적29례(29지안)감염성안내염환자,분석기치병원인、치료방법화치료효과。결과29례감염성안내염환자주요치병원인시내안수술(55.2%)화안외상(37.9%);병원체검출솔위24.1%,주요치병균시혁란양성구균,이표피포도구균위다견;7지안행전방충세연합파리체강주약술,6지안행단순파리체강주약술,15지안행파리체시망막연합수술,1지안행안내용완제술,치료결속공2지안인감염무법공제이행안내용완제술,안구보존솔93.1%,술후평균최가교정시력위2.8±1.4,교술전명현제고(1.6±1.0),유통계학의의( t =-6.6, P <0.01)。결론감염성안내염상견적치병인소유안외상화내안수술,상견적병원체위혁란양성구균,치료상근거안내염적엄중정도이채용합괄적치료방안,시공제염증,만구시공능적유효조시。
Objective To analyze the etiology and treatment outcome in 29 patients(29 eyes) with infectious en-dophthalmitis.Methods This retrospective study reviewed medical records of 29 patients (29 eyes) treated in Anhui Pro-vincial Hospital from January 2013 to June 2014.Causes and treatment outcomes were analyzed.Results The major cau-ses of infectious endophthalmitis were intraocular surgery (55.2%) and ocular trauma (37.9%).Pathogens were identi-fied in 24.1%of the cases and most common bacteria were Gram-positive cocci, particularly Staphylococci.Seven patients received anterior chamber irrigation combined with intravitreal injection, 6 patients underwent simple intravitreal injection, and 15 patients received vitreous-retinal surgery.There were 3 patients who received evisceration surgery, among whom two were due to uncontrolled infection.The overall rate of eye preservation was 93.1%.Mean best corrected visual acuity was 2.8 ±1.4, which was significantly better than preoperative (1.6 ±1.0) visual acuity ( t =-6.6, P <0.01).Conclu-sion The major causes of infectious endophthalmitis are ocular trauma and intraocular surgery.The most common bacteria are Gram-positive cocci.Appropriate treatment regimen is important to control inflammation and to save visual function.