赵斌

DOI：10.16662/j.cnki.1674-0742.2017.07.060

[摘要] 目的 探究玻璃体切除联合手术治疗复杂眼外伤的效果。方法 方便选取2015年1月—2016年6月该院收治的复杂眼外伤患者70例（70眼）进行该次实验。治疗方法采用玻璃体切除术，观察并记录患者治疗前后的视力情况以及治疗过程中的并发症情况。结果 经过治疗，35例患者中有30例患者达到功能治愈的标准，4例患者达到解剖治愈的标准，1例患者未治愈。治疗过程中共有4例患者出现并发症，并经过相应处理得到痊愈。结论 玻璃体切除联合手术治疗复杂眼外伤有很好的效果，显著提高治愈率，降低并发症发生率，值得在临床上进一步推广。

[关键词] 玻璃体切除术；眼外伤；复杂眼外伤

[中图分类号] R74 [文献标识码] A [文章编号] 1674-0742（2017）03（a）-0060-03

Analysis of Curative Effect of Vitrectomy and Operation in Treatment of Complicated Eye Trauma

ZHAO Bin

Department of Eyegroud Surgery， Yuncheng Ophthalmology Hospital， Yuncheng， Shanxi Province， 044000 China

[Abstract] Objective To study the curative effect of vitrectomy and operation in treatment of complicated eye trauma. Methods 70 cases （70 eyes） of patients with complicated eye trauma admitted and treated in our hospital from January 2015 to June 2016 were convenient selected and were given the vitrectomy， and the vision situation before and after treatment and complications in the treatment course were observed and recorded. Results After treatment， 30 cases reached the function cure standards in the 35 cases， 4 cases reached the anatomical cure standards， and 1 case was not cured， in the treatment course， there were 4 cases with complications and cured after the corresponding treatment. Conclusion The effect of vitrectomy and operation in treatment of complicated eye trauma is better， which can obviously improve the cure rate and reduce the incidence rate of complications， which is worth further promotion in clinic.

[Key words] Vitrectomy； Eye trauma； Complicated eye trauma

复杂眼外伤患者并发症较多，常见的有眼内多组织损伤、外伤性白内障、眼内炎症等，这些并发症一般都较严重，特殊的患病器官也增加了治疗的难度，若患者的病情未得到及时、安全而有效的治疗，则有可能会导致玻璃体内纤维细胞增生、牵引性视网膜脱离等并发症的出现，严重时甚至发生失明[1]。闭合式玻璃体切除术是治疗复杂眼外伤的一种有效的治疗方法，该方法可有效修复其患眼的解剖结构及功能，清除眼球内部的外来异物、致病菌及炎性物，显著改善患者的视力[2]。为探究玻璃体切除术治疗复杂眼外伤的治疗效果，方便选取2015年1月—2016年6月该院收治的复杂眼外伤患者70例（70眼）进行该次实验，现报道如下。

1 资料与方法

1.1 一……