视肠外科手术与肠内抗生素相结合的有效性,用于严重的创伤后内炎
Jiaxuan Yu1,2, Gongqiang Yuan1,2,3, Xiaolei Sun1,2
1Eye Hospital of Shandong First Medical University, Jinan, Shandong, China.
Retina (Philadelphia, Pa.)
|July 25, 2023
概括
用内抗生素进行玻璃切除术有效治疗严重的创伤后内炎,改善视力和控制感染. 这种方法为患有严重眼睛创伤的患者提供了一个有前途的解决方案.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 创伤外科 手术 创伤外科
背景情况:
- 开放球体创伤后的严重内炎对维护视力构成重大挑战.
- 及时有效的治疗对于预防不可逆转的视力损失至关重要.
研究的目的:
- 为了评估结合玻璃切除术与内抗生素治疗严重创伤后内炎的临床疗效.
- 评估对视觉敏度和感染控制的影响.
主要方法:
- 在2010年至2022年期间接受治疗的严重创伤后内炎 (光感知或更糟) 患者的回顾性评估.
- 对玻璃切除术,内抗生素和潜在的重复治疗或玻璃体吸收后的结果的分析.
主要成果:
- 在87.60%的眼睛中,平均最佳校正视敏度 (BCVA) 从4.03到1.75 logMAR (P < 0.001) 显著改善.
- 在所有眼睛中成功控制了感染,其中88%需要两次或更少的手术.
- Streptococci,真菌和混合感染等特定的病原体与增加的操作有关.
结论:
- 玻璃切除术与内抗生素相结合,在治疗严重的创伤后内炎方面显示出显著的临床疗效.
- 治疗策略带来了大量的视觉恢复和成功的感染根除.
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