本文選題：玻璃體切割術 + 眼內炎��； 參考：《吉林大學》2011年碩士論文

【摘要】：目的： 報告玻璃體切割術后眼內炎的發(fā)生率、危險因素、預后。 資料： 我們統(tǒng)計了我院2001.01～2010.12玻璃體切割術病例10693例,術后發(fā)生眼內炎6例,除外入院前診斷為眼外傷及眼內炎病例。 方法： 所有符合條件的病例信息采集如下：年齡、性別、眼別、全身病史、入院日期、手術指征、手術過程、發(fā)病時間、治療過程、細菌培養(yǎng)、培養(yǎng)物、術前及術后視力比較。術前空腹血糖控制在8.3mmol/L以下,血壓控制在160/100mmHg以下。預后視力判斷標準為：提高2行視為上升,下降2行視為下降,在上下2行之內視為無變化。 結果： 10年間,我院玻璃體切割術后眼內炎發(fā)生率為0.056%(6/10693),以右眼4例,多見于中老年人及糖尿病患者。細菌培養(yǎng)結果為：嗜水汽單胞菌1例,細菌培養(yǎng)陰性為2例。視力結果為無光感2例,手動及指數各1例,0.05、0.16各1例。 結論： 玻璃體切割術后眼內炎發(fā)生率相當低,多見于糖尿病及中老年患者,預后視力與感染程度有關。
[Abstract]:Objective: to report the incidence, risk factors and prognosis of endophthalmitis after vitrectomy. Data: we counted 10693 cases of vitrectomy and 6 cases of endophthalmitis, except those diagnosed as ocular trauma and endophthalmitis before admission. Methods: all eligible cases were collected as follows: age, sex, eye type, systemic history, admission date, surgical indication, operative process, onset time, treatment process, bacterial culture, and culture. Preoperative and postoperative visual acuity were compared. Preoperative fasting blood glucose was below 8.3 mmol / L and blood pressure was below 160 / 100 mmHg. The prognostic criteria of visual acuity were as follows: 2 lines of improvement were regarded as ascending, 2 lines of decrease as decreasing, and 2 lines as no change. Results: the incidence of endophthalmitis after vitrectomy in our hospital was 0.056% (6 / 10693). The results of bacterial culture were as follows: 1 case of Aeromonas hydrophila and 2 cases of negative bacterial culture. The visual acuity was 2 cases without light sensation, 1 case with manual and 1 case with index 0. 05 0. 16 cases each. Conclusion: the incidence of endophthalmitis after vitrectomy is very low.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R779.6

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