重水在治疗眼后节球内异物玻切术中作用的临床观察.docVIP

精品论文 参考文献 重水在治疗眼后节球内异物玻切术中作用的临床观察 魏立春 （甘肃省兰州市第一人民医院眼科 730050） 【摘要】目的 评价重水在治疗眼后节球内异物玻切术中作用及并发症。方法　对89例眼后节球内异物行玻璃体切除联合异物取出术，术后对视力、眼底及眼压情况进行随访。结果　术后随访25个月，平均8.5个月89。9%行异物取出；术后视力2只眼提高（2.2%），79只眼术后视力不变（88.8%），8只眼下降（占8.9﹪），1只眼异物打入球后未行手术，8只眼行硅油填充术。结论　重水在治疗眼后节球内异物玻切术中可获得满意的手术效果，而且并发症的发生率低。 【关键词】 重水 球内异物 玻璃体切除术 【中图分类号】R779.6【文献标识码】A【文章编号】2095-1752（2012）29-0124-02 【Abstract】 Objective 　To evaluate the efficacy and the incidence of complications of Heavy water on intraocular foreign bodies in the posterior segment which treated by vitrectomy. Methods Vitrectomy combined with foreign bodies removal surgery was performed in 89 patients of intraocular foreign bodies in the posterior segment. Postoperative vision, cornea, fundus and intraocular pressure, and so on were followed up. Results All patients were followed up for 25 months with an average of 8.5 months. Of all cases, x cases (89.9%) extracted successfully intraocular foreign bodies in the posterior segment, 2 cases ( 3.1% ) showed improvement in visual acuity, 79 cases (88.8% ) remained visual acuity with in one line of base line and 8 cases (8.9%) showed visual acuity decreased after the surgery. A case of retrobulbar foreign bodies did not undergo surgery and heavy silicone oil tamponade were performed in 8 cases. Conclusion Heavy water on intraocular foreign bodies in the posterior segment which treated by vitrectomy could secure a Satisfied results of operation, whereas the incidence of complications is low. 【Keynote】Heavy water intraocular foreign bodies vitrectomy 眼外伤所致的眼后节球内异物一般应及早手术摘除。手术方法取决于易物的位置、磁性、可否看见、是否包裹、或位于玻璃体、视网膜及其他结构内，以及眼内的并发症[1]。眼外伤所致的后节球内异物一般行玻璃体切除联合异物取出术容易引起玻璃体腔出血，视网膜出血，视网膜脱离，导致异物不能取出等并发症发生。近年来，重水的出现并逐步应用于临床。可对球内异物取出起到事半功倍的作用，现报告如下： 一、资料与方法 1、临床资料： 2008年1月至2011年1月我院住院的眼后节球内异物患者共89例（89只眼），男性22例，年龄17-54岁，平均38岁；女性67例，年龄22-48岁，平均30岁；左眼56例，右眼33例，病历中行角膜缝合术61例，未行角膜缝合术28例；外伤所致白内障52例，外伤所致玻璃体积血30例；外伤所致视网膜脱离5例。 2、方法： （1）.术前检查：术前详细询问病史，行视力