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1981~1991年期间在我院住院治疗的儿童眼球内眶内异物伤6l3例665眼;其中男性561例,女性52例;眼球内异物509例,占83.0%。特点是:(1)受伤年龄高峰期12~13岁;(2)时间以每年1~2月份发生率最高;(3)首要原因是雷管鞭炮类爆炸伤;(4)非磁性异物多于磁性异物;(5)手术难度大,检查治疗配合欠佳;(6)并发症多,预后差,视力伤残重。这些特点与成人不同。主要并发症有外伤性白内障,葡萄膜炎,玻璃体出血和混浊,增殖性玻璃体视网膜病变(PVR)等。其中528例做异物摘出手术553次,成功率93.2%;文中讨论了联合手术问题。术后视力提高者197眼(34.5%),有45眼盲目恢复了有用视力,但是仍有65.3%的受伤眼视力伤残难以恢复。最后强调预防和治疗同等重要。
In 1981-1991, 6l3 cases of 665 eyes of 663 children with intraocular orbital foreign bodies were hospitalized in our hospital, including 561 males and 52 females; and 509 cases (83.0%) of foreign bodies in the eyeballs. The characteristics are: (1) the peak age of injury is 12 to 13 years of age; (2) the time is highest in January to February each year; (3) the primary reason is explosive fire of firecrackers; (4) more non-magnetic foreign bodies than magnetic Foreign body; (5) surgical difficulty, check and treatment with poor; (6) complications, poor prognosis, visual impairment. These characteristics are different from adults. The main complications are traumatic cataracts, uveitis, vitreous hemorrhage and opacity, proliferative vitreoretinopathy (PVR) and so on. 528 of them performed 553 foreign body extirpation operations with a success rate of 93.2%. The article discussed the issue of joint surgery. In 197 eyes (34.5%) with postoperative visual acuity improvement, 45 eyes blindly recovered useful eyesight, but still 65.3% of eyesight injuries were still difficult to recover. Finally, stressing that prevention and treatment are equally important.