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
2015年
7期
510-513
,共4页
康焕君%张印博%贾金辰%赵迷英%孙素焕
康煥君%張印博%賈金辰%趙迷英%孫素煥
강환군%장인박%가금신%조미영%손소환
眼损伤,开放性,儿童%视力%评分表
眼損傷,開放性,兒童%視力%評分錶
안손상,개방성,인동%시력%평분표
Injuries,open globe,children%Visual acuity%Score,ocular trauma
目的：评价两种眼外伤评分标准在儿童开放性眼外伤中的应用。方法回顾河北省眼科医院儿童开放性眼外伤患者的资料。分析眼外伤评分系统影响因素与末次随访视力的关系,分析改良后眼外伤评分、儿童眼外伤评分与患者末次随访的相关性。结果125例(125眼)中男97例(77.6%),女28例(22.4%)。年龄3~14岁,平均(9.3±4.1)岁。随访16~32个月。初诊视力低、年龄小、视网膜脱离、眼球破裂伤、伤口位置靠后、玻璃体积血是治疗后视力差的影响因素(P <0.05)。改良的眼外伤评分与治疗后视力高度相关(r=0.67,P<0.001),并且应用简便。儿童眼外伤评分标准与视力相关(r=0.53,P<0.001),但是其中的影响因素作用有限。结论改良的眼外伤评分标准与儿童开放性眼外伤治疗后视力有着高度的相关性,且简便易行。
目的：評價兩種眼外傷評分標準在兒童開放性眼外傷中的應用。方法迴顧河北省眼科醫院兒童開放性眼外傷患者的資料。分析眼外傷評分繫統影響因素與末次隨訪視力的關繫,分析改良後眼外傷評分、兒童眼外傷評分與患者末次隨訪的相關性。結果125例(125眼)中男97例(77.6%),女28例(22.4%)。年齡3~14歲,平均(9.3±4.1)歲。隨訪16~32箇月。初診視力低、年齡小、視網膜脫離、眼毬破裂傷、傷口位置靠後、玻璃體積血是治療後視力差的影響因素(P <0.05)。改良的眼外傷評分與治療後視力高度相關(r=0.67,P<0.001),併且應用簡便。兒童眼外傷評分標準與視力相關(r=0.53,P<0.001),但是其中的影響因素作用有限。結論改良的眼外傷評分標準與兒童開放性眼外傷治療後視力有著高度的相關性,且簡便易行。
목적：평개량충안외상평분표준재인동개방성안외상중적응용。방법회고하북성안과의원인동개방성안외상환자적자료。분석안외상평분계통영향인소여말차수방시력적관계,분석개량후안외상평분、인동안외상평분여환자말차수방적상관성。결과125례(125안)중남97례(77.6%),녀28례(22.4%)。년령3~14세,평균(9.3±4.1)세。수방16~32개월。초진시력저、년령소、시망막탈리、안구파렬상、상구위치고후、파리체적혈시치료후시력차적영향인소(P <0.05)。개량적안외상평분여치료후시력고도상관(r=0.67,P<0.001),병차응용간편。인동안외상평분표준여시력상관(r=0.53,P<0.001),단시기중적영향인소작용유한。결론개량적안외상평분표준여인동개방성안외상치료후시력유착고도적상관성,차간편역행。
Objective To assess the application of ocular trauma score ( OTS ) and paediatric ocular trauma score ( POTS) for paediatric open globe injuries. Methods Data of 125 cases with open globe injuries aged from 3 to 14 years who were treated between March 2010 and March 2013 were retrospectively analysed. The minimum follow-up period was 1 year. The variables of the modified OTS and POTS were analysed for their predictive values in terms of the best-corrected visual acuity. The Score category of modified OTS and POTS for their predictive values in terms of the best-corrected visual acuity was analysed. Results Of 125 patients, there were 97 (77. 6%) boys and 28 (22. 4%) girls. Their mean age was (9. 3 ± 4. 1) years old. The follow-up time was 16 to 32 months. Initial visual acuities, younger age, retinal detachments, type of injury, wound locations and vitreous haemorrhages had significant impacts on visual outcome (P<0. 05). Modified OTS had high correlation with visual acuity after the treatment and was easy to perform (r=0. 67,P <0. 001). The Score category of the POTS correlated with the actual final visual acuities (r =0. 53,P <0. 001), but several POTS variables had only limited impacts on visual outcome. Conclusion The modified OTS has a high predictive value for visual outcome after open globe injuries in children.
