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目的探讨眼球穿孔伤的显微手术治疗效果。方法30例(30眼)眼球穿孔伤均于手术显微镜下行急诊伤口探查修复术,并依伤情需要行二次手术治疗。结果30例手术治疗后均达到Ⅱ期甲级伤口愈合,27例保留了眼球,术后视力均有不同程度的提高;1例伤眼萎缩,健眼发生交感性眼炎;2例因严重的眼球破裂伤,视功能恢复无望,经患者同意行伤眼眼球摘除。结论眼球穿孔伤的预后取决于损伤程度、并发症及伤口及时正确处理。
Objective To investigate the effect of microsurgical treatment of penetrating eye injury. Methods Thirty eyes (30 eyes) with perforation of the eye were treated with emergency wound exploration under the operating microscope. The patients underwent two surgeries as needed. Results All of the 30 cases achieved stage Ⅱ grade A wound healing after surgery, 27 cases retained the eyeball, postoperative visual acuity improved to varying degrees; 1 case of atrophy of the injured eye and healthy eye with sympathetic ophthalmia; 2 cases of severe Eyeball rupture, visual function recovery hopeless, the patient agreed to eyeball removal injury. Conclusion The prognosis of perforation depends on the degree of injury, complications and timely and correct treatment of wounds.