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眼异物

眼异物的相关文献在1989年到2021年内共计149篇,主要集中在眼科学、临床医学、特种医学 等领域,其中期刊论文149篇、专利文献28762篇;相关期刊74种,包括中国临床医学影像杂志、中国医学影像学杂志、中华眼视光学与视觉科学杂志等; 眼异物的相关文献由342位作者贡献,包括程敬亮、颜华、张效房等。

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论文:149 占比:0.52%

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论文:28762 占比:99.48%

总计:28911篇

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眼异物

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  • 程敬亮
  • 颜华
  • 张效房
  • 任翠萍
  • 文宝红
  • 朱豫
  • 王斐斐
  • 陈伟
  • 于纯智
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    • 王艳红; 彭洁; 王倩; 闫磐石
    • 摘要: 目的 评价玻璃体切除术联合不同手术摘出复杂眼内异物的临床效果.方法 回顾性分析郑州大学第一附属医院2018年1月至2019年12月复杂眼内异物87例(87只眼)的临床资料.根据异物性质、位置、大小等因素选用玻璃体切除术联合不同手术,包括磁棒接力、异物钳夹出及外路摘出术,术后随访3~8个月,观察异物摘出情况、视力及并发症等.结果 87例眼内异物均一次手术摘出.术后视力均有不同程度提高(χ2=10.462,P=0.002).11例(12.64%)巨大眼内异物视网膜复位不良,行二次视网膜复位术治愈.76例(87.36%)术后随访期内均无视网膜脱离或眼内炎等并发症发生.结论 根据异物性质、位置、大小等因素选用玻璃体切除术联合不同手术摘出复杂眼内异物是一种安全有效的方法.
    • 中华医学会眼科学分会眼外伤学组
    • 摘要: 眼内异物伤是一种特殊类型的眼外伤,不仅造成眼球机械性损伤,也可因眼内异物存留引起眼部一系列病理改变,严重威胁视功能.近年来随着医学影像学技术进步,眼内异物伤诊断水平明显提高;眼科显微手术技术的进步与普及,尤其玻璃体视网膜手术技术的不断提高,使眼内异物取出的成功率明显上升.为进一步规范眼内异物伤救治的原则和方法,中华医学会眼科学分会眼外伤学组经过认真讨论,达成共识性意见,以供眼科医师在临床工作中参考使用.
    • 中华医学会眼科学分会眼整形眼眶病学组
    • 摘要: 眼眶异物除造成眼部机械性损伤和继发性感染外,长期滞留还可导致炎性反应、异物肉芽肿和瘘管形成,影响患者外观和视觉功能,眶颅沟通异物可造成颅脑损伤和颅内感染等严重并发症.中华医学会眼科学分会眼整形眼眶病学组针对眼眶异物造成的组织损伤、影像学检查、诊断和治疗形成专家共识意见,希望以此为临床相关工作提供参考,规范临床眼眶异物的诊疗工作,提高诊疗水平.
    • 马静; 王文战; 张效房; 杨鑫; 鹿晓燕
    • 摘要: 目的 分析大型眼内异物的临床特点及预后因素.方法 回顾性分析郑州大学第一附属医院2016年1月至2017年12月眼内异物580例(580只眼)中大型异物62例(62只眼)的临床资料.随访6个月~2年.观察大型眼内异物的临床特征,分析预后因素.结果 本研究中大型异物(长≥10 mm或宽≥4 mm或厚≥3 mm)占同期眼内异物的10.69%(62/580).男58例,女4例.年龄范围1~62岁,平均(39.7±11.7)岁.其中磁性异物41例(66.13%).在工作场所受伤者最多,共45例(72.58%).一期行眼内容摘除术者2例,其余60例均行二期眼内异物摘出联合玻璃体切除、晶状体摘出及硅油填充等手术.术后最终取出硅油并保存眼球者37例(59.68%),未取出硅油者20例(32.26%),三期行眼内容摘除术者3例(4.84%).最终视力:无光感者8例,光感~手动者19例,数指~0.04者11例,0.05~0.25者22例,≥0.3者2例,总体视力(logMAR)优于术前(t=7.703,P=0.000).最终视力与术前视力有相关性(r=0.516,P=0.000).异物长度与最终视力无相关性(r=-0.227,P=0.096),异物宽度和伤口长度均与最终视力有相关性(r=0.375,0.453;P=0.003,0.000).按有无虹膜脱出/嵌顿、晶状体脱出、后极部视网膜伤口、视网膜坏死及视网膜脱出分别分组,具有相应伤情组的最终视力较无相应伤情组差(P<0.05).结论 大型眼内异物的预后与术前视力、异物宽度、伤口长度及视网膜损伤程度有关.
    • 刘秀云; 张志勇
    • 摘要: 目的 分析因角膜表面铁质异物而被漏诊眼内和眶内异物的原因.方法 回顾性分析2018年2月至11月我院就诊被漏诊眼内和眶内异物的角膜铁质异物剔除术后6例(6只眼)的临床资料.结果 本组初诊时均未接受CT、X线和UBM检查,其中5例未接受B超检查,初诊均未发现角膜、虹膜或巩膜的细小穿孔和眼内眶内异物.6例角膜浅层异物接受角膜异物剔除术后出现并发症,通过CT、X线、B超和UBM检查后确诊眼内或眶内异物.结论 角膜表面的铁质异物可能并发眼内或眶内异物,漏诊可导致严重的眼部并发症,细致的眼部检查,并辅以CT、X线、B超和UBM检查能减少漏诊.%Objective To analyze the causes of missed diagnosis of intraocular and orbital foreign body due to iron foreign body on corneal surface.Methods The clinical data of 6 eyes of 6 cases with missed of intraocular and orbital foreign body after corneal iron foreign body removed from Feb.to Nov.2018 were analyzed retrospectively.Results All cases were not examined with CT,X-ray or UBM and among them 5 cases were not examined with B-ultrasound at the first visit.No small corneal,iris or scleral perforations or orbital foreign bodies as found in all patients in primary care units.Six patients with superficial corneal foreign body developed complications after corneal foreign body removal.Then the intraocular and orbital foreign bodies were diagnosed with CT,X-my,B-ultrasound and UBM.Conclusion Iron foreign bodies on corneal surface may be complicated by intraocular and orbital foreign bodies.Missed diagnosis may lead to serious complications.Careful eye examination,supplemented with CT,B-ultrasound and UBM can reduce missed diagnosis.
    • 肖佐文; 邵明明; 孙加臣
    • 摘要: 目的:研究并探讨多层螺旋CT在眼异物定位与检出中的应用.方法:此次研究的对象是选择76例眼异物伤害患者,将其临床资料进行回顾性分析,并使用多层螺旋CT对其眼部进行扫描,通过多断面、多角度进行二次重建测量,对异物的空间位置进行确定,同时使用X线进行检查,将其结果与术后结果进行对比分析.结果:通过多层螺旋CT检查,在这76例患者中检出异物71例,检出率为93.42%;X线片检出异物65例,检出率为85.53%,两者对比,P<0.05,差异具有统计学意义.结论:多层螺旋CT用于眼异物检查具有检出率高、定位准确等优势,具有临床推广应用价值.
    • 张晓楠; 程敬亮; 张会霞; 王斐斐; 文宝红
    • 摘要: Objective:To investigate the MRI features of stony foreign body in rabbit vitreous body by susceptibility weighted imaging (SWI) and conventional sequences.Methods:Forty healthy rabbits were involved in this study.Experimental group were ten rabbits.Selected stones,porcelain,coal,graphite four stone material as foreign body (maximum diameter were 0.2 mm) that were randomly and respectively implanted into 40 right rabbit's vitreous body.Take the left rabbits vitreous body implanted as reference,all cases were underwent T1WI,T2WI,PDWI,3D-DESS and SWI sequences examination in 2 hours.Highest magnification was 3D-DESS sequence of conventional sequence,the diameter of foreign bodies on T2WI sequence was closed to the actual diameter,highest magnification was mIP figure of SWI sequence.Results:All of 40 stony foreign bodies,the diagnosis rate of T1WI,T2WI,PDWI,3D-DES sequences was 75%,83%,68%,93%.The diagnosis rate of Mag,Pha,mIP,SWI figures was 88%,88%,78%,88%.Conclusion:3D-DESS and SWI were sensitive sequences for detecting tiny stony foreign body in vitreous bodies,for the amplification effect that could be used for the detection of foreign bodies as a complementary method for convention MRI.%目的:探讨磁敏感加权成像(SWI)和常规MRI序列对兔眼玻璃体内微小石质异物的诊断价值.方法:选取试验动物40只分成4组,每组10只,将0.2 mm的石块、瓷器、煤块和石墨各10枚分别植入右眼玻璃体内,以左眼作为对照,均于手术后2h内行MRI检查,磁共振检查序列包括T1WI、T2WI、PDWI、3D-DESS和SWI.结果:40枚石质异物中,常规T1WI、T2WI、PDWI、3D-DESS序列对4种石质异物的检出率分别为75%、83%、68%、93%;SWI序列Mag图、Pha图、mIP图、SWI图检出率分别为88%、88%、78%、88%.常规序列中3D-DESS序列的放大率最高,T2WI序列检出异物直径接近于实际直径,SWI序列中mIP图的放大率最高.结论:3D-DESS序列和SWI序列是诊断眼球玻璃体内微小石质异物敏感序列,其对异物的放大效应有利于异物的检出,是常规MRI诊断的重要补充手段.
    • 张震; 周佳丽; 王方
    • 摘要: Objective To investigate the cause of intraocular metallic foreign body injury during hammer percussion and to observe the structure of the metallic foreign bodies.Methods A retrospective analysis was performed in 21 inpatients with metallic foreign body injury in the posterior segment from January 2013 to April 2016.The foreign bodies were removed by magnetic drawing through external route of the sclera or vitrectomy.The shape of the foreign bodies was analyzed and the structural characteristics were observed under a metallurgical microscope.The visual acuity of the patients was compared before and after treatment.Results All patients were discharged at one week after surgery.There was no significant difference in mean best corrected visual acuity of the patients between before treatment and after treatment (1.20±0.87 vs.1.08±0.89,t=1.516,P>0.05).The metallic foreign bodies in all the 21 cases were magnetic and the injuries in 15 cases(71.43%) were caused by hammering on hard objects.The foreign bodies were mainly lamellar and shaped like a leaf or a lance.And the lamellar martensite structure was observed under a metallurgical microscope.Conclusion The intraocular metallic foreign body injury often occurs during hammer percussion and the microstructure of the foreign bodies is lamellar martensite structure.%目的 探讨劳动中铁锤敲击作业致眼内金属异物伤的成因,并对异物进行结构学观察.方法 于2013年1月至2016年4月,对21例眼后段金属异物伤的住院患者进行回顾性分析,利用经巩膜外路磁吸和玻璃体切除内路异物取出两种方式手术取出异物.分析取出异物的形态,并在金相显微镜下观察其结构特性.比较眼外伤患者术前和术后出院时视力.结果 21例眼外伤患者术前平均最佳矫正视力(BCVA)为1.20±0.87,术后1周出院时BCVA为1.08±0.89,两组差异无统计学意义(t=1.516,P>0.05).21例眼后段金属异物均为磁性异物;15例为锤头敲击硬物(71.43%),异物的外观形态主要为薄片的竹叶状或矛状,金相显微镜下异物为片状马氏体结构.结论 眼内金属异物伤多发于铁锤敲击,其显微结构为片状马氏体.
    • 邬永娟12 文芸1 颜建华1
    • 摘要: 目的 总结眼眶异物的临床特点和手术治疗方法.方法 回顾性系列病例研究.分析中山大学中山眼科中心2002年1月至2013年7月期间诊治的22例眼眶异物患者的资料,对其临床表现、影像学资料和手术治疗方法进行统计.结果 22例患者中,男19例,女3例;年龄3-67岁,≤14岁者占46%;右眼眶10例,左眼眶12例.植物性异物占73%,异物位置以眼眶上部最多,占41%;其次分别为内侧(27%)、外侧(18%)、下部(9%)和锥后段(4%).术前视力损害占50%,眼球运动受限、斜视和上睑下垂占46%.眼眶CT和MRI显示植物性异物均有条状、棒状等高密度异物影或低信号异物影.全部病例均完整取出异物,其中前路开眶21例,侧壁开眶1例;21例行1次手术,1例行2次手术;所有患者术后随访期内均没有出现新增视力下降和眼球运动受限,仅2例有暂时性轻度上睑下垂.结论眼眶异物以男性儿童多见,影像检查有利于准确诊断,前路开眶手术效果好.
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