急性开放性眼外伤患者早期玻璃体手术治疗的时机及临床效果

目的探讨急性开放性眼外伤患者早期玻璃体手术治疗的时机及临床效果。 方法随机抽取2013年6月至2014年6月我院收治的开放性眼外伤患者65例(65只眼)，按手术方式，将接受常规时间II期玻璃体手术治疗的32例(32只眼)患者作为对照组，将接受早期玻璃体手术治疗的33例(33只眼)作为观察组，对比两组患者的手术效果，并统计记录术后并发症发生情况。 结果两组患者术前玻璃体积血、视网膜脱离、晶状体破裂、角膜裂伤发生率比较差异均无统计学意义(P>0.05)。观察组功能治愈28例，解剖治愈4例，未愈1例，治愈率为96.97%。对照组功能治愈16例，解剖治愈10例，未愈6例，治愈率为81.25%，差异有统计学意义(P<0.05)。观察组术后并发症发生率为9.09%，对照组为25.00%，差异有统计学意义(P<0.05)。 结论对开放性急诊眼外伤患者，早期玻璃体手术治疗的临床效果显著，同时可减少术后并发症的发生。

Opportunity of early vitreous surgery and its clinical efficacy in patients with open emergency ocular trauma

ObjectiveTo probe into the opportunity of early vitreous surgery and clinical effects in patients with open emergency ocular trauma. Methods65 patients with open ocular trauma who accepted treatments in our hospital from June 2013 to June 2014 were taken as the studyobjects, and there were a total of 65 eyes.According to the different surgical methods, 32 patients (32 eyes) were accepted the conventional II-stage vitreous surgery (control group) while 33 patients (33 eyes) were treated with the early vitreous surgery (observation group). Then, the surgical effects of the two groups were observed and compared, and the incidence of postoperative complications was recorded. ResultsThere was no significant statistical differencein the preoperative glass volume of blood, retinal detachment, lens rupture, corneal laceration incidence between the two groups of patients(P>0.05). In the observation group 28 cases were functionally cured, 4 cases were anatomically cured and1 case was notcured; the cure rate was 96.97%.In the control group, 16 cases were functional self-healing, the anatomic healing in 10 cases, and 6 cases were ineffective; the cure rate was 81.25%.The difference had statistically significant between the two groups(P<0.05). The postoperative complication rate was 9.09%in the observation group, and 25% in the control group; the difference had statistically significant(P<0.05). ConclusionThe clinical effects of early vitrectomy in the treatment of open emergency ocular trauma are significant, which can reduce the incidence of postoperative complications, and thus should be promoted in the clinical application.