眼球穿孔伤76例治疗分析

Clinical analysis of 76 cases of ocular trauma

目的：探讨眼球穿孔伤的治疗方法。方法：对76例（76眼）眼球穿孔伤的手术治疗进行回顾性分析。结果：71眼保留眼球,视力得到提高,其余5眼未能保住眼球。术前视力无光感6眼,光感-0.05者40眼,0.06-0.3者20眼,0.4-1.0者10眼。术后患者视力得到改善（P〈0.05）,无光感5眼,光感-0.05者16眼,0.06-0.3者35眼,0.4-1.0者20眼。结论：正确的伤口处理联合手术治疗,提高了伤眼视功能的恢复水平。

Objective：To discuss the clinical procedures for treatment of ocular trauma.Methods：Seventy-six cases（76 eyes） of ocular trauma which had been treated by surgical therapy were retrospectively analyzed.Results：Seventy-one eyeballs were retained and the other 5 failed.Before operation,6 eyes had no light perception（LP）,40 eyes had a LP of ≤0.05,20 eyes 0.06-0.3 and 10 eyes 0.4-1.0;after operation,5 eyes had no light perception,16 eyes had a LP of ≤0.05,35 eyes 0.06-0.3 and 20 eyes 0.4-1.0.Conclusions：Proper management of the wound and surgical therapy can improve the recovery of visual function in patients with ocular trauma.