目的评价玻璃体腔注射抗生素及玻璃体切除术对外伤性化脓性眼内炎的临床疗效。方法玻璃体腔内注射抗生素或联合玻璃体切除术。结果G+球菌占52．2％，G-杆菌占40.0％，真菌占10．8％。治疗后视力高于指数有39例。结论外伤性化脓性眼内炎的主要病原菌是G+球菌及G-杆菌，玻璃体腔注射抗生素能有效控制眼内感染。玻璃体切除术仍是治疗本病的主要手段。 Objective To evaluate the clinical efficacy of vitreous cavity injection of antibiotics and vitrectomy for traumatic suppurative endophthalmitis. Methods Intravitreal injection of antibiotics or combined vitrectomy. Results G + bacteria accounted for 52.2%, G-bacteria accounted for 40.0%, fungi accounted for 10.8%. After treatment, visual acuity higher than the index in 39 cases. Conclusion The main pathogens of traumatic suppurative endophthalmitis are G + coccus and G-bacilli. Intravitreal injection of antibiotics can effectively control intraocular infection. Vitrectomy is still the main treatment of this disease.