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目的:回顾性分析不同的手术方法治疗眼外伤后眼后节球内异物的手术效果。方法:对46例(46眼)单眼眼球穿通伤合并球内异物的临床资料进行回顾性分析。结果:手术取出异物后保住眼球45眼(98%),未保住眼球1眼(2%)。成功取出46例,均完整取出异物。其中8例并发外伤性白内障(8/46,17%),18例并发玻璃体积血(18/46,39%),5例继发视网膜脱离(5/46,11%),5例继发眼内炎(5/46,11%)。其中一期40眼行巩膜外路电磁铁吸出异物(40/46,87%),6眼采用玻璃体切除术取出异物(6/46,13%)。二期术后合并症25例(25/46,54%)而再次行玻璃体切割术;5例(5/46,11%)而行晶体玻璃体次全切割术。结论:对于磁性异物,以一期行巩膜外路磁吸术为首选;而对于非磁性异物及磁性异物外路磁吸术无法吸出者的病例需行玻璃体切除联合球内异物取出术取出异物。
Objective: To retrospectively analyze the surgical results of different surgical methods for the treatment of foreign bodies in the posterior segment of the eye after ocular trauma. Methods: The clinical data of 46 cases (46 eyes) of single eyeball penetrating injury with intracranial foreign body were analyzed retrospectively. Results: 45 eyes (98%) retained the eyeball after surgery, and 1 eyeball (2%) did not hold the eyeball. 46 cases were successfully removed, all the foreign bodies were completely removed. Among them, 8 cases were complicated with traumatic cataract (8/46, 17%), 18 cases with vitreous hemorrhage (18/46, 39%), 5 cases with secondary retinal detachment (5/46, 11%) and 5 cases with secondary Endophthalmitis (5/46, 11%). Among them, 40 patients (40/46, 87%) received scleral extraoral electromagnetism in one of the 40 eyes and 6 eyes (6 / 46,13%) were removed by vitrectomy. Two cases of postoperative complications in 25 cases (25 / 46,54%) and again underwent vitrectomy; 5 cases (5 / 46,11%) underwent vitrectomy subtotal. Conclusion: For magnetic foreign body, one-stage scleral extraoral magnetic aspiration is the first choice; while for non-magnetic foreign body and magnetic foreign body outside magnetic induction can not be aspirated patients need vitrectomy with intra-ball foreign body removal to remove foreign body.