眼部栗刺异物90例临床分析

Clinical analysis of 90 cases with chestnut thorn foreign bodies in eyes

目的 探讨眼部栗刺异物的发生原因、临床特点及治疗方法,为基层医院的诊治工作提供依据。方法 对收治的90例眼部栗刺异物患者的发病、诊断及治疗情况进行回顾性总结,分析伤情、视力及手术疗效,随访3个月。结果 男性患者多于女性,年龄<50岁的患者多于年龄≥50岁者。25.6％的患者为多组织复合伤。患者分别采用直接拔除术、切开挑拨术及超声乳化白内障吸除人工晶状体植入术治疗,均顺利清除栗刺异物,无手术并发症发生。经抗感染治疗,随访期间无感染患者。治疗后视力好于治疗前,两者比较差异有显著意义(P<0.05)。结论 伤情复杂和易引起严重感染为栗刺异物的主要特点;采用恰当方法彻底清除异物和积极抗感染是治疗成功的关键。

Objective To explore the causes, clinical characteristics and treatment for chestnut thorn foreign bodies in the eyes to provide scientific basis for their diagnosis and treatment at grassroots hospitals. Methods Ninety cases with chestnut thorn foreign bodies in the eyes were studied retrospectively, including their onset, vision, severity, diagnosis, treatment, as well as effectiveness of ophthalmologic operation followed-up for three months. Results Number of male cases were more than that of females, and number of those below 50 years old were more than that of those equal to or over 50. Compound trauma was identified in 25. 6% of total cases. All the foreign bodies were successfully removed directly, with an incision, or with phacoemulsification and intraocularlens implantation. No any operation complication or infection during following-up after antibiotic treatment was observed. Their vision was better after treatment than before it, with statistically significant difference(P <0. 05) . Conclusions Complexity of trauma situation in the cases with chestnut thorn foreign bodies in the eyes and their liability to severe infection were two major characteristics. It is the key points for successful management to remove foreign bodies thoroughly from the eyes and to use antibiiotics.