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角巩膜穿通伤是严重的眼外伤。及时、准确的处理是重建眼球、保护视功能的重要条件。延期手术则会使创缘水肿难以缝合,自创口向眼内渗出和出血增加,脱出组织感染和坏死的可能性增加等,国内对角巩膜穿通伤临床报告较多,但应用连续缝线法缝合角巩膜穿通伤的报告未见报导。三年来,我们应用连续缝线法缝合角巩膜穿通伤34例,取得满意的效果,现将治疗方法及体会报告如下。1 临床资料34例角巩膜穿通伤病人,角巩膜穿通伤15例,角膜穿通伤19例,合并晶体外伤者22例,男20例,女14例,年龄最大者65岁,最小者3岁。全部病人均在手术显微镜下进行显微连续缝
Corneal scleral penetrating injury is a serious eye injury. Timely and accurate treatment is to rebuild the eye, an important condition to protect visual function. Delayed operation will make wound edge difficult to stitch edema, self-port to the eye exudate and bleeding increase, the possibility of prolapse tissue infection and necrosis increased, clinical reports of domestic scleral penetrating injury, but the application of continuous suture Law suture scleral penetration injury report has not been reported. In the past three years, we applied continuous suture to suture the scleral penetration injury in 34 cases, and achieved satisfactory results. Now the treatment methods and experience report as follows. 1 clinical data of 34 cases of scleral penetrating injury patients, corneal scleral penetrating injury in 15 cases, corneal penetrating injury in 19 cases, combined with traumatic brain injury in 22 cases, 20 males and 14 females, the oldest 65 years old, the youngest 3 years old . All patients underwent microscopic stitches under a surgical microscope