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本文对1609例眼球摘除原因进行分析。其中因眼外伤976例(60.7%);眼内肿瘤330例(20.5%);其它原因257例(15.9%);另有46例随同眶内容剜出而摘除眼球。原因以眼外伤占首位,多为青壮年,男性多于女性,多因眼球严重破裂伤及眼内感染合并眼球萎缩而摘除眼球。眼内肿瘤以视网膜母细胞瘤为最多,234例(70.9%);脉络膜黑色素瘤占第二位,81例(24.5%)。提示对眼外伤的预防很重要。提高基层医疗水平,及时有效的治疗眼外伤也是降低眼球摘除率的关键。对于眼内肿瘤,早期诊断、早期治疗十分重要。对较小肿瘤可试行保守治疗。
This article analyzes the reasons for the removal of 1609 cases of eyeballs. Among them, 976 eyes (60.7%) had ocular trauma; 330 (20.5%) had intraocular tumors; 257 (15.9%) had other causes; and 46 had eyes removed with orbital contents. Causes of eye injuries account for the first place, mostly young adults, more men than women, mostly due to severe ocular injury and intraocular infection with atrophy of the eye and removal of the eye. The majority of intraocular tumors were retinoblastoma, 234 (70.9%), choroidal melanoma (81%, 24.5%). Tips for the prevention of eye injury is very important. Improve the level of primary care, timely and effective treatment of ocular trauma is also the key to reducing the rate of enucleation. For intraocular tumors, early diagnosis, early treatment is very important. For smaller tumors can be conservative treatment trial.