清创缝合玻璃体切割加硅油填充治疗复杂性眼内异物.pdfVIP

实用医药杂志2008年O3月第25卷第O3期 Pr8c J Med＆Pharm．Vol 25，2008—03 N0．03 · 275· 临床研究 清创缝合玻璃体切割 · 论 著· 加硅油填充治疗复杂性眼内异物 宋学英 齐绍文 胡长娥 陈晓凯 杜英涛 (152医院眼科．河南平顶山 467000) 【摘 要I 目的 探讨硅油在一期清创缝介联合玻璃体切割治疗复杂性眼内异物中的临床效果。方法 笔者对其所在医院收渝的复杂眼内异物患者38例(38眼)进行同顾性分析。这些患者均采用一期清创缝 合联合玻璃体切割行异物取出硅油填充，随访3～37个月(平均19．3个月)，观察术后效果。结果 异物均一 次成功取出。最佳矫正视力≤0．02者l0眼，0，02者8眼，10．05者7眼，10．1者13眼。结论 使用硅油 填充在一期清创缝合联合玻璃体切割治疗复杂性眼内异物是安全和有效的。 【关键词】硅油 眼内异物 玻璃体训割 【中图分类号】R779．4 l文献标识码】A Silicone oil used in suture debridement combined with vitrectomy for complicated intraocular foreign bodies SONG Xue—ying，Q1 SHao--Well，HU CHang—e，et a1．Dept．of Ophthalmology，No．1 52 Hospital of PLA．Pingdingshan 467000．China 【Abstract】 0bjective To inquire into usage of silicone oil in the vitrectomy on the first stage for complicated intraocular foreign bodies．Methods lhe 38 cases(38eyes)with the complicated intraocular foreign bodies were retrospectively evaluated．The 38eyes were subjected to suture debridement combined with vitrectomy on the first stage．some cases were combined with cataract surgery．All the 38eyes were followed up for a mean of 3-37months(1 9．3months)and their therapeutic effects were observed．Results All the 38eyes were successfully extracted with one time of operation，extraction rate was 1 00％．Final visual outcomes were ≤0．02 in 10 eyes，0．02 in 8 eyes，I0．05 in 7 eyes，I0．1 in 13 eyes． Conclusion Silicone oil tamponade and vitreetomy on the fi rst stage can improve the accuracy of operation and is safe for treating complicated intraocular foreign bodies． 【Key words】 Silicone oil lntraocular foreign bodies Vitrectomy 眼球穿孑L伤常伴有眼内异物．导致严重的并发 眼，塑料2眼，木削及其它4眼；异物最大9．81-111-11X 症，是Ht~b伤失明的重要原因。现将笔者采用一期