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目的 观察玻璃体切割手术联合眼内灌注抗生素冶疗化脓性眼内炎的临床疗效,方法 回顾性分析68例68眼化脓性眼内炎行玻璃体切割手术联合灌注抗生素治疗效果,分析对比眼内炎的治疗方法及术中注意事项。结果 68例68眼跟内炎症全部控制,61眼眼球保存并且视力有不同程度的提高,视力在0.05以上者占48.5％,7眼眼球萎缩。结论 玻璃体切割联合眼内灌注抗生素是治疗化脓性眼内炎最理想的方法,及时手术,术中精心操作是取得良好疗效的关键。
Objective To observe the clinical curative effect of vitrectomy combined with intraocular perfusion of antibiotics in the treatment of suppurative endophthalmitis. Methods The retrospective analysis of 68 cases of suppurative endophthalmitis in 68 eyes with vitrectomy combined with antibiotic therapy was used to compare the effects of endophthalmitis Treatment and intraoperative precautions. Results 68 cases of 68 eyes with all the control of inflammation, 61 eyes preserved and visual acuity improved to some extent, visual acuity of 0.05 or more accounted for 48.5%, 7 eyes atrophy. Conclusions Vitrectomy combined with intraocular perfusion of antibiotics is the best method for the treatment of suppurative endophthalmitis. Timely operation and careful operation during operation are the keys to good curative effect.