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目的:探讨眼损伤致眼球摘除的病例病因、分布与临床表现。方法:对723例因眼损伤致眼球摘除的病例进行回顾性统计分析。结果:723例眼损伤致眼球摘除的病例,男/女等于6.5/1;20岁~50岁占80.08%;外来务工人员所占比例较大43.98%。锐器伤457例,I期摘除率11.35%,垚挫伤154例,I期摘率57.14%,车祸、爆炸等111例,I期摘除率95.50%;Ⅱ期摘除的患者中眼球萎缩占40.53%,继发性青光眼占21.30%。钝挫伤组眼眶壁骨折发病率在89.72%,其中以眶下壁/眶内侧最多见。结论:眼损伤病例虽锐器伤发生率高,但钝挫伤与车祸、坠落、爆炸等伤情重,I期摘除率高,常伴有眼眶骨折。
Objective: To investigate the etiology, distribution and clinical manifestation of cases of ocular excision caused by eye injury. Methods: 723 cases of eyeballs were retrospectively analyzed. Results: 723 cases of ocular injury caused by enucleation, male / female equal to 6.5 / 1; 20 years old to 50 years old accounted for 80.08%; migrant workers accounted for a larger proportion of 43.98%. 457 cases of sharp injury, I period of 11.35% removal rate, 垚 154 cases of 垚 contusion, I rate of 57.14%, 111 cases of car accident, explosion, I phase removal rate was 95.50%; Ⅱ extirpation in patients with atrophy of the eye accounted for 40.53% , Secondary glaucoma accounted for 21.30%. The incidence of orbital wall fractures in blunt contusion group was 89.72%, of which the infraorbital wall / orbital medial side was the most common. Conclusion: Although the incidence of eye injuries is high, sharp blunt injury, but blunt trauma and car accidents, crashes, explosions and other injuries, I high removal rate, often accompanied by orbital fractures.