眼球开放伤后发生眼内炎危险因素分析

目的探讨影响眼球开放伤后发生眼内炎的危险因素。方法回顾性分析眼球开放伤480眼,分析清创缝合时间、伤口位置、伤口长度、异物存留、晶状体破裂对眼内炎发生率的影响。结果共52眼发生眼内炎,发生率为10.8%。清创缝合时间〉24 h、角膜或角膜缘伤口、异物存留和晶状体破裂显著增加眼球开放伤眼内炎的发生率,差异具有统计学意义;伤口长度〉20 mm可增加眼球开放伤后眼内炎发生率,但差异没有统计学意义。结论延误初次清创缝合、伤口靠前、异物存留和晶状体破裂可增加眼球开放伤后发生眼内炎的风险。

Analysis of Risk Factors for Endophthalmitis after Open Globe Injuries

Objective To determine the risk factors for endophthalmitis after open globe injuries.Methods 480 cases of patients with open globe injuries were recalled and analyzed.The main outcomes measured were time interval between injury and primary repair of the globe,location of wound,length of wound,presence or absence of ocular foreign body and with or without lens rupture.RResults 52 cases of patients with open globe injuries developed clinically significant endophthalmitis（10.8%）.Delay in primary repair more than 24 hours,location of wound in cornea or limbus corneae,with ocular foreign body and with lens rupture significantly increased the risk of endophthalmitis.The incidence rate of endophthalmitis after open injury of eyeball were higher in group of length of wound more than 20 mm,but was not statistically significant.Conclusion Delayed primary repair of open globe injuries,anterior wound,ocular foreign body and lens rupture are the high risk of developing endophthalmitis.