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眼球摘除术为一严重的破坏性手术,在临床施行时要慎重,但对某些恶性肿瘤,严重的眼外伤及眼球感染仍需施行此术,据统计外伤病例需要眼球摘除的约占9％左右,占各种眼疾之首。本文分析我院1984～1990年眼球摘除255例的经验体会。1 临床资料1.1 一般资料:本组男176例,女79例,年龄2个月～78岁,农民和学生占全部病例的80％,左右眼各占45％和55％,本组眼球摘除率占同期眼科住院总人数(4229例)的6.03％。其中眼外伤98例(38.4％),恶性肿瘤58例(22.7％),继发性青光眼43例(16.9％),眼球萎缩29例(11.3％),其他27例(10.6％)。1.2 治疗结果及并发症:255例眼球摘除术无一例死亡,并发术后出血5例(1.9％),均经局部压迫止血而愈,结膜囊过浅8例(3.1％);全组平均住院7天。
Eye surgery is a serious devastating surgery, to be cautious in clinical practice, but for some malignant tumors, severe ocular trauma and eye infection still need to perform this surgery, according to the statistics of traumatic cases require enucleation of about 9% Around, accounting for the first of various eye diseases. This article analyzes our hospital 1984 ~ 1990 enucleation of 255 cases of experience. 1 Clinical data 1.1 General information: The group of 176 males and 79 females, aged 2 months to 78 years old, peasants and students accounted for 80% of all cases, about 45% of left and right eyes and 55% of the group of eyeball removal rate Accounting for the same period the total number of ophthalmic hospitalizations (4229 cases) 6.03%. There were 98 cases (38.4%) of ocular trauma, 58 cases (22.7%) of malignant tumors, 43 cases (16.9%) of secondary glaucoma, 29 cases (11.3%) of eyeball atrophy and 27 cases (10.6%) of other cases. 1.2 The treatment of complications and complications: 255 cases of enucleation without death, concurrent postoperative bleeding in 5 cases (1.9%), were cured by local hemostasis, conjunctival superficial in 8 cases (3.1%); the average hospitalization 7 days.