复杂性眼外伤行玻璃体切割术手术时间对预后的影响

目的　探讨复杂性眼外伤行玻璃体切割术手术时间对预后的影响。方法　对2012年5月至2017年5月就诊于我院的120例（128眼）复杂性眼外伤患者的临床资料进行回顾性分析，根据眼外伤后接受玻璃体切割手术的时间分为5组，比较各组间功能治愈的差异。结果　眼外伤发生后0~5 d行玻璃体切割术患者6例（6眼），功能治愈4例（4眼），功能治愈率66.67%；眼外伤发生后6~10 d行玻璃体切割术患者48例（50眼），其中功能治愈32例（34眼），功能治愈率68.00%；眼外伤发生后11~15 d后行玻璃体切割术患者30例（34眼），其中功能治愈24例（26眼），功能治愈率76.47%；眼外伤发生后16~20 d行玻璃体切割术患者18例（20眼），其中功能治愈8例（8眼），功能治愈率40.00%；眼外伤发生后21~25 d行玻璃体切割术患者10例（10眼），其中功能治愈2例（2眼），功能治愈率20.00%；眼外伤发生后＞25 d行玻璃体切割术患者8例（8眼），其中功能治愈2例（2眼），功能治愈率25.00%。眼外伤发生后11~15 d行玻璃体切割术患者的功能治愈率高于其他各组，差异均有统计学意义（均为P＜0.05）。结论　适宜的手术时间是影响玻璃体切割术治疗复杂性眼外伤的重要影响因素，眼外伤后最适宜的玻璃体切割术时间是眼外伤发生后11~15 d。

Effect of operative time on prognosis in patients with complicated ocular trauma undergoing vitrectomy

Objective　To explore the effects of operative time on the prognosis in patients with complicated ocular trauma undergoing vitrectomy.Methods　Clinical data of 120 patients (128 eyes) with complicated ocular trauma from May 2012 to May 2017 in our hospital were retrospectively analyzed.Then all the subjects were divided into five groups according to the different operative time of vitrectomy，and the function-cure rate was compared in the 5 groups.Results　There were 6 patients (6 eyes) receiving operation on day 0 to 5 after the injury，and the functional cure rate was 66.67%，48 patient (50 eyes) receiving operation on day 6 to 10 after the injury，followed by 32 patients (34 eyes) being functional cured with the curative rate of 68.00%，30 patient (34 eyes) receiving operation on day 11 to 15 after the injury，followed by 24 patients (26 eyes) being functionally cured with the curative rate of 76.47%，18 patient (20 eyes) receiving operation on day 16 to 20 after the injury，followed by 8 patients (8 eyes) being functionally cured with the curative rate of 40.00%，10 patient (10 eyes) receiving operation on day 21 to 25 after the injury，followed by 2 patients (2 eyes) being functionally cured with the curative rate of 20.00%，8 patient (8 eyes) receiving operationover 25 days after the injury，followed by 2 patients (2 eyes) being functional cured with the curative rate of 25.00%，which suggested that patients suffered the injury with 11 days to 15 days had the highest function-cure rate (all P<0.05).Conclusion　The operative time does matter，which can affect the cure rate of patients with complicated ocular trauma undergoing vitrectomy，and the most suitable time of ocular trauma surgery is 11-15 days after the injury.