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目的观察眼球后部穿孔伤作预防性冷凝术的必要性。方法对84例眼球后部穿孔伤病人随机分A、B两组,A组伤口周围冷凝处理,B组不冷凝,分别于术后不同时期散瞳或B超检查眼底,两组对照进行统计分析。结果术后随访3-12月,A组冷凝眼玻璃体反应重,增生明显,牵拉性视网膜脱离发生率较高,两组比较差异有显著性(P<0.05)。结论预防性冷凝术无助于眼球后部穿孔伤口的愈合,反而促进牵拉性视网膜脱离的发生。
Objective To observe the necessity of prophylactic condensation in perforation of the posterior eyeball. Methods A total of 84 patients with perforation of the posterior eyeball were divided randomly into groups A and B. The wounds in group A were condensed and the group B did not condense. The fundus was examined by mydriasis or B-mode ultrasonography after operation. analysis. Results During the follow-up period of 3 to 12 months, the vitreous reaction in group A was more severe with hyperplasia, and the incidence of retinal detachment was higher. There was significant difference between the two groups (P <0.05). Conclusion Preventive Condensation does not help the healing of perforation wounds in the posterior eye, but instead promotes the occurrence of traction retinal detachment.