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目的探讨挫伤性前房积血的最佳手术时机。方法对45例挫伤性前房积血的患者进行回顾性分析,并比较分析了早期手术(2~4天内)和较保守治疗(7~9天后手术)两组的治疗效果及并发症。结果早期手术治疗组视力恢复较好,角膜血染等并发症较少,未发现术中再出血。结论挫伤性前房积血的早期前房冲洗可以减少并发症,获得较好的视力。
Objective To investigate the optimal timing of contusion hyphema. Methods Forty-five patients with contusive hyphema were retrospectively analyzed. The therapeutic effects and complications of early surgery (2-4 days) and more conservative treatment (7-9 days after surgery) were compared. Results Early surgical treatment of visual acuity recovery better corneal blood stained less complications, no intraoperative bleeding was found. Conclusion Early anterior chamber flushing of contusion hyphema can reduce complications and obtain better vision.