目的:分析眼球摘除、眼内容物剜除、眶内容物剜除的病因和相关因素.方法:回顾性分析.收集2011年7月至2017年9月在温州医科大学附属眼视光医院行眼球摘除、眼内容物剜除、眶内容物剜除术的676例(676眼)患者的病历资料,其中男437例,女239例;年龄7个月～90岁,分析其原因及分布情况,结果以百分比表示.结果:在676例患者中眼球摘除术230例,占34.0％;眼内容物剜除术426例,占63.0％;眶内容物剜除术20例,占3.0％.小于12岁的儿童患者共有31例,因视网膜母细胞瘤行眼球摘除术的有18例、眶内容物剜除术的2例;19～ 60岁的人群共430例,以眼外伤或外伤后并发症为首位病因的共219例;60岁以上的老年患者共有191例,以角膜炎和角膜疾患(57例)及青光眼(51例)为主要病因.老年患者行眶内容物剜除术的常见病因为眼睑各类恶性肿瘤.结论:在各年龄段,单眼致盲的主要原因不同.因此,在不同年龄段宣传医疗保健知识及诊治重点有所不同.%Objective:To analyze the etiology and related factors of destructive ophthalmic surgeries,including enucleation of the eyeball,evisceration and orbital exenteration.Methods:The medical records of 676 patients (676 eyes) who underwent ophthalmic destructive procedures were reviewed retrospectively from July 2011 to September 2017 at the Eye Hospital,Wenzhou Medical University.There were 437 malesand 239 females;aged from 7 months to 90 years old,and the causes of the operation and its distribution were analyzed.Results:In 676 cases,230 cases were enucleation,accounting for 34.0％;426 cases were evisceration,accounting for 63.0％;20 cases were orbital exenteration,accounting for 3.0％.There were 31 children younger than 12 years old,among them,18 cases of enucleation and 2 cases of orbital exenteration due to retinoblastoma.There were 430 cases of adults aged from 19 to 60 years old.Ocular trauma related diseases were the first cause,about 219 cases.There were 191 elderly patients over the age of 60.Keratitis and cornea related diseases (57 cases) and glaucoma (51 cases) were the main causes.And in older patients,removal of orbital contents was a common cause of eyelid malignancy.Conclusions:In different age groups,the main causes of unilateral blindness are different.Therefore,the emphases of the promotion of preventive health care knowledges and treatment priorities should be different among different age groups.
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