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球内异物

球内异物的相关文献在1982年到2021年内共计176篇,主要集中在眼科学、预防医学、卫生学、临床医学 等领域,其中期刊论文174篇、会议论文1篇、专利文献278155篇;相关期刊82种,包括护士进修杂志、中国超声医学杂志、临床眼科杂志等; 相关会议1种,包括世界中医药学会联合会眼科专业委员会第五届学术年会、中国中西医结合学会眼科专业委员会第十三届学术年会、中华中医药学会眼科分会第十三届学术年会暨中国(河北)第二届国际眼科学术研讨会等;球内异物的相关文献由434位作者贡献,包括万李丹、刘菲、刘钢等。

球内异物—发文量

期刊论文>

论文:174 占比:0.06%

会议论文>

论文:1 占比:0.00%

专利文献>

论文:278155 占比:99.94%

总计:278330篇

球内异物—发文趋势图

球内异物

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  • 万李丹
  • 刘菲
  • 刘钢
  • 卢海
  • 吴祥红
  • 姜伟
  • 孙思勤
  • 宋维贤
  • 张剑
  • 张卯年
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 许娜; 王琼
    • 摘要: cqvip:1病例患者,男,45岁,因“右眼视力骤降10d”收住我科。患者5年前工作时不慎被钢管击伤右眼后在当地医院就诊,具体诊断不详,行“右眼白内障摘除+人工晶体植入术”,术后视力恢复尚可,故未再到医院就诊。10d前患者无明显诱因出现右眼视力骤降,不伴眼红痛、畏光、流泪,虹视、雾视、头痛、恶心、呕吐等不适,故到我院就诊。
    • 李松峰; 卢海; 刘敬花; 邓光达
    • 摘要: Objective To investigate the clinical efficacy of 25G minimally invasive vitrectomy for the removal of foreign bodies in the posterior segment of the ball.Methods The clinical data of 21 patients (21 eyes) with intraocular foreign bodies who underwent 25G minimally invasive vitrectomy combined with intrabulbar foreign body removal were retrospectively analyzed,including magnetic foreign bodies in 17 patients and non-magnetic foreign bodies in 4 patients.All the patients had cataract and vitreous hemorrhage,with 3 patients (3 eyes) suffering secondary endophthalmitis,and 12 patients (12 eyes) suffering secondary retinal detachment.Cataract extraction,retinal reattachment and silicone oil tamponade were combined according to different conditions,and the complications and surgical outcomes were analyzed for 6-month followup.Results All patients received preoperative examinations,immediately following implementation of 25G minimally invasive vitrectomy and intrabulbar foreign body removal procedures.The removal rate of foreign bodies in phase Ⅰ was 100%.All the endophthalmitis and retinal detachment were cured before operation.The turbid lens was removed during operation from the corneal incision in 20 patients (20 eyes),and from a scleral incision in 1 patient after cataract extraction.A total of 19 eyes had better postoperative visual acuity than preoperative vision,14 eyes underwent phase Ⅱ intraocular lens implantation,and silicone oil was retained in 2 eyes.No postoperative complications related to minimally invasive surgery occurred.Conclusion 25G minimally invasive vitrectomy has good clinical outcomes in the removal of intraocular foreign bodies in the posterior segment of the eye,with minimal surgical trauma,rapid visual function recovery,and fewer complications,but great attention should be paid to its indications.%目的 探讨25G微创玻璃体切割术治疗眼后段球内异物的临床疗效.方法 回顾性分析眼后段球内异物并接受25G微创玻璃体切割术联合球内异物取出术的21例21眼患者临床资料,其中17例17眼为磁性异物,4例4眼为非磁性异物.20例(20眼)并发白内障,3例3眼伴眼内炎,12例12眼伴视网膜脱离.根据不同的病情分别联合了白内障摘出、视网膜复位、硅油填充等操作,术后随访6个月,对其并发症和手术效果进行分析.结果 所有患眼均于完善术前检查后尽快行25G微创玻璃体切割手术联合球内异物取出术,Ⅰ期球内异物取出率为100%,眼内炎3眼炎症均得到控制,术中摘出混浊的晶状体,20例20眼球内异物由角膜切口取出,1例由巩膜切口取出.共19眼术后矫正视力较术前视力有所提高,14眼进行了Ⅱ期人工晶状体植入,2眼硅油存留.术后未见与微创手术相关的并发症.结论 25G微创玻璃体切割术在眼后段球内异物取出术中显示出良好的临床效果,手术创伤小,视功能恢复快,并发症少,但要注意其适应证的选择.
    • 姜伟; 吴祥红; 张剑; 任永波; 齐艳秀
    • 摘要: 目的:比较急诊一期行玻璃体切割+球内异物取出术(A组)和一期球内异物磁吸术+二期玻璃体切割术(B组)治疗球内异物患者疗效.方法:回顾性分析自2015-03~2017-03我院眼科行玻璃体切割手术治疗并获得随访的经巩膜穿通口球内异物患者32例.其中一期采用急诊行玻璃体切割+球内异物取出术15例;一期球内异物磁吸术+二期玻璃体切割术17例.结果:A组患者(15眼)中术前6例并发玻璃体积血,5例并发视网膜裂孔,手术取出异物并均成功保住眼球,A组患者均无因并发症需二期手术.术后14眼术后最佳矫正视力较术前提高,1眼下降,术后视力提高较术前有统计学意义(P0.05).结论:一期急诊行玻璃体切割+球内异物取出术较一期球内异物磁吸术+二期玻璃体切割术,术后效果良好,术后视力恢复效果更佳.
    • 李婕; 季苏娟; 洪艺洋; 李甦雁; 张正培
    • 摘要: 目的 回顾性分析23G微创玻璃体切割术治疗眼球穿通伤伴球内异物的临床疗效.方法 选取我院2015年1月~2017年12月收治的52例(52眼)眼球穿通伤伴球内异物患者作为研究对象,并对其进行回顾性分析.结果 眼球穿通伤伴球内异物患者术后视力优于术前视力;患者的视力恢复,其球内异物所在位置对视力恢复程度具有较大影响;越早取出球内异物,术后视力恢复越好.结论 23G微创玻璃体切割术是一种安全有效的治疗眼球穿通伤伴球内异物的临床方法,值得广泛推广和应用.
    • 汪方; 刘勇; 吴楠; 王一
    • 摘要: 目的 评估伴有球内异物的开放性眼外伤在伤后48 h内行玻璃体手术的疗效.方法 回顾性分析我院2009年1月1日至2015年3月1日收治的56例(56眼)开放性眼外伤(OGIs)患者的临床资料;所有患者均伴有球内异物(IOFB),且在受伤48 h内行经睫状体扁平部的玻璃体切割术(PPV).结果 在56眼中,IOFB发生眼内炎的有16眼,不伴有眼内炎的有40眼;术后异物取出率100%.52例患者术后眼球得以保存,4眼眼球保存失败.在24-48 h行PPV的球内异物伴眼内炎患者的比率是24 h内手术的2.09倍.24 h内行PPV的患者眼球保存、一次性视网膜复位、眼压异常情况与24~48 h手术者比较差异无统计学意义.结论 早期玻璃体切割手术是治疗伴有球内异物的开放性眼外伤安全、有效的手段.%Objective To evaluate the clinical effect of vitrectomy for open globe injuries with intraocular foreign bodies in 48 hours after injury.Methods Retrospective analysis was used to evaluate the patients with open globe injuries (OGIs) accompanied by intraocular foreign bodies (IOFB) who underwent vitrectomy of pars plana vitrectomy (PPV) within 48 hours during the period from January 1,2009 to March 1,2015 in our hospital.Results Among the 56 eyes,16 eyes with intraocular foreign bodies occurred endophthalmitis,while the other 40 eyes did not;the intraocular foreign bodies removal rate was 100%.Among all the patient eyes,52 eyes were saved after surgery,while 4 eyes failed.The pars plana vitrectomy operation ratio of the intraocular foreign bodies patients with endophthalmitis and operated within 24 to 48 hours was 2.09 times than that within 24 hours.There was no significant difference in terms of eye preservation,one time of retinal reposition and abnormal intraocular pressure no matter the PPV surgery was conducted within 24 hours or 24 to 48 hours after injury.Conclusion Early vitrectomy is a safe and effective method for the treatment of open globe injuries with intraocular foreign bodies.
    • 杜伟; 解正高; 童俊
    • 摘要: AIM: To explore the effect of early posterior approach vitrectomy in the treatment of penetrating ocular trauma with intraocular foreign body.METHODS: Totally 10 cases of penetrating ocular trauma with intraocular foreign bodies(IOFB) in the past two years were included.Emergency vitrectomy, intraocular foreign body removal and silicone oil tamponade were performed by the same surgeon.Antibiotics and steroids were given after surgeries.Retinal photocoagulation was done according to fundus conditions after surgeries.RESULTS: One patient combined with preoperation endophthalmitis and severely damaged retina failed to recover, eventually came to phthisis bulbi.Vitrectomy and IOFB removal were all successfully performed in the other patients.The postoperation follow-up time was 3-18mo.Two of the patients received secondary vitrectomy and silicone replacement surgeries due to recurrent retinal detachment.The remaining patients had no further bleeding with intraoclar pressure(IOP) 8-21mmHg.At the last follow-up, three of them gained best corrected visual acuity better than 0.1, two patients had visual acuity of 0.01 to 0.1 and four patients had poor visual acuity of light perception to FC/50cm because of macular damage.The patient with phthisis bulbi had no light perception.CONCLUSION: Early vitrectomy, foreign body removal and silicone oil tamponade is an effective treatment for patients with penetrating eyeball injury with IOFB.%目的:探索早期后入路玻璃体切割术治疗眼球贯通伤伴球内异物的有效性.方法:近2a来我院急诊收治的10例10眼眼球贯通伤伴球内异物患者,急诊行玻璃体切割+眼内异物取出+硅油填充术,术后给予积极预防感染、消炎处理,根据伤道周围视网膜生长情况补充视网膜光凝.结果:患者1眼因化脓性眼内炎、术中视网膜脉络膜损毁严重视网膜未能复位,最终眼球萎缩,患者9眼成功施行玻璃体切割手术,取出异物,随诊时间3~18mo,其中2例患者因复发性视网膜脱离行二次玻切硅油置换手术,其余患者视网膜复位良好,无再出血,眼压维持8~21mmHg;最后一次随访时患者3眼最佳矫正视力>0.1,2眼矫正视力0.01~0.1,患者4眼因后极部脉络膜视网膜损伤严重矫正视力光感~指数/50cm,眼球萎缩患者视力无光感.结论:早期后入路玻璃体切割、异物取出联合硅油填充术为一种有效地治疗眼球贯通伤伴球内异物的手术治疗方法.
    • 李莹琳; 帅显腾
    • 摘要: 目的:对球内异物合并化脓性眼内炎患者的治疗措施以及预后进行详细探究.方法:在本次研究中,选取本院2016年1月至2017年9月收治的60例球内异物患者作为研究对象,其中,有5例患者为合并化脓性眼内炎.在对所有患者实施手术治疗时,需要结合患者实际情况给予相应的手术治疗措施,同时,在对患者进行手术治疗以及手术完成后,还需要对患者给予抗感染治疗措施.对所有患者预后以及并发症发生情况进行统计分析.结果:通过手术治疗,所有患者视力均有所提高,眼压控制效果较好;所有患者异物均成功取出,患者视网膜均在位;有1例患者1眼球发生眼球萎缩,其余所有患者在手术过程中,均没有发生明显的并发症.结论:在对球内异物合并化脓性眼内炎患者进行治疗时,需要对患者给予手术治疗措施,针对检查结果给予相应的治疗方案,同时对患者加强抗感染治疗,这样才能够有效改善患者预后.
    • 姜伟; 张剑; 吴祥红; 宿星杰; 刘宏伟; 齐艳秀; 李思莹; 孟岩; 王玉清
    • 摘要: 目的:回顾性分析不同的手术方法治疗眼外伤后眼后节球内异物的手术效果.方法:对46例(46眼)单眼眼球穿通伤合并球内异物的临床资料进行回顾性分析.结果:手术取出异物后保住眼球45 眼(98%),未保住眼球1眼(2%).成功取出 46 例,均完整取出异物.其中8例并发外伤性白内障(8/46,17%),18 例并发玻璃体积血(18/46,39%),5例继发视网膜脱离(5/46,11%),5例继发眼内炎(5/46,11%).其中一期 40眼行巩膜外路电磁铁吸出异物(40/46,87%),6眼采用玻璃体切除术取出异物(6/46,13%).二期术后合并症25例(25/46,54%)而再次行玻璃体切割术;5例(5/46,11%)而行晶体玻璃体次全切割术.结论:对于磁性异物,以一期行巩膜外路磁吸术为首选;而对于非磁性异物及磁性异物外路磁吸术无法吸出者的病例需行玻璃体切除联合球内异物取出术取出异物.
    • 韩彦辉; 李曼; 于广委; 王东林
    • 摘要: 目的:观察电磁铁吸引联合玻璃体切割手术取出不规则磁性球内异物的临床效果,分析其在治疗球内异物取出术中的优势.方法:回顾性分析我院2012-01/2013-12行玻璃体切割联合电磁铁吸引手术治疗不规则球内磁性异物患者30例30眼与我院2010-01/2011-12行单纯玻璃体切割治疗球内异物患者30例30眼的临床疗效.对两组患者术中异物取出情况、术中及术后并发症进行比较.结果:玻璃体切割联合电磁铁吸引取出异物的患者中有28眼(93%)异物均一次取出,单纯应用玻璃体切割取出异物的患者中有20眼(67%)异物一次性取出,两者比较差异有统计学意义(x2=5.333,P=0.021),玻璃体切割联合电磁铁吸引取出异物的患者在术中、术后的并发症均少于单纯应用玻璃体切割取出异物的患者.结论:不规则球内金属异物玻璃体切割异物取出术中联合应用电磁铁具有一定优势,可以在临床工作中加以推广.
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