玻璃体切割术治疗复杂眼外伤患者的临床效果评价

Evaluation of the Clinical Effect of Vitrectomy for the Treatment of Complicated Ocular Trauma

目的：研究玻璃体切割术在复杂性眼外伤治疗中的效果。方法：选择2015年6月-2017年6月我院眼科收治的120例复杂性眼外伤患者，回顾患者的手术方法分组：对照组（常规处理方法），观察组（玻璃体切割术），统计2组的治疗效果指标。结果：术后1周、1个月、3个月，观察组患者的功能痊愈率均高于对照组，且未愈率低于对照组，P〈0．05；观察组患者的术后并发症发生率为6．67％，对照组为20．0％，组间差异显著P〈0．05。结论：玻璃体切割术在复杂性眼外伤治疗中的应用安全可靠，眼受伤后应尽快手术治疗，尽量保留伤眼，改善视力。

Objectiv： To study the effect of vitrectomy in the treatment of complicated ocular trauma. Methods： Methods 120 cases of complex ocular trauma admitted to our department from 2015 to 06, -2017, 06, were retrospectively reviewed. The operative methods were divided into three groups： control group （routine treatment）, experimental group （vitrectomy）, and statistics of two groups. Resuits： After 1 weeks, 1 months, 3 months, the rate of recovery was higher than the control group of patients in the experimental group the function, and the failure rate is lower than the control group, P 〈 0.05; the complication rate of experimental group was 6.67% patients, the control group was 20%, significant difference between groups P 〈 0.05. Conclusion： The application of vitrectomy in the treatment of complicated ocular trauma is safe and reliable. The surgical treatment should be performed as soon as possible after the eye injury, and the eye should be retained as far as possible to improve the vision.