摘要目的 分析四川省东北部连续12年681例未成年人眼外伤的临床特点.方法 对2004年1月至2015年12月收治的681例(690眼)未成年人眼外伤的临床资料进行回顾性分析.结果 未成年人眼外伤多见于8～17岁,平均年龄(10.02±4.43)岁,男女之比为3.37∶1(525∶156).2004年至2009年未成年人眼外伤人数总体呈上升趋势,而2010年至2015年眼外伤人数呈下降趋势.农村地区未成年人眼外伤明显多于城镇.致伤原因以被沙石、塑料子弹和玩具等物品击中者(占27.61％)最为常见.外伤类型以闭合性和开放性眼球外伤多见.336例(343眼)接受手术治疗,345例(347眼)采用非手术治疗.经治疗后,多数患者出院视力得到不同程度改善,其中一期眼球摘除或眼内容物摘除14例.结论 未成年人眼外伤后果严重,应加强眼外伤预防.

abstractsObjective To analysis the clinical characteristics of ocular trauma of 681 juveniles in Northeast Sichuan in 12 years.Methods The data of 690 eyes of 681 juveniles with ocular trauma from Jan.2004 to Dec.2015 were retrospectively analyzed.Results The most age range of juveniles with ocular trauma was 8-17 years and average (10.02 ± 4.43) years.The ratio of male to female was 3.37 ∶ 1 (525 ∶156).From 2004 to 2009,the population of juveniles with ocular trauma showed an upward trend,and in the following 6 years showed a downward trend.The ocular trauma of juveniles was more common in rural areas than in urban areas,the causes of injuries were most commonly related to sand,plastic bullet,toys (27.61％).The types of injuries were common in closed ocular trauma and open ocular trauma.There were 343 eyes of 336 patients with surgery,and 347 eyes of 345 cases with non-operative treatment.After management,the best corrected visual acuity was improved in varying degrees.Enucleation of eyeball or evisceration were performed in 14 cases in primary operation.Conclusion The ocular trauma of juveniles is serious.Strengthening the propaganda in prevention of eye injury and taking accordingly protective measures can effectively prevent the occurrence of ocular trauma.