目的:探讨眼球破裂伤一期手术处理的方法、原则,观察术后临床效果,为临床提供理论依据。方法:对21例21眼严重眼球破裂伤患者全部实施显微手术缝合,达到完全水密性。结果:所选21例经一期手术缝合的眼球破裂伤患者,术后经3mo～2a的随访,除1例在外院做眼球摘除外,均保持正常的眼球形状,不仅使眼球得到了保留,而且经过二期玻璃体切除手术后视力也得到不同程度的提高。结论:严重的眼球破裂伤经精心的显微手术修复,绝大部分可以保住眼球;部分患者有望恢复一定视功能;对于严重的眼球破裂伤不要轻易摘除眼球。

AIM:To investigate the surgical treatment methods,principles and clinical results of eyeball rupture,and to provide its theoretical basis.·METHODS:Totally 21 patients 21 eyes with severe ocular rupture underwent microsurgical suture.·RESULTS:Followed up for 3 months to 2 years,twenty patients with ocular rupture had preserved eyeball and improved invision. Only 1 patient underwent enucleate surgery and gained normal eye shape in an other hospital.·CONCLUSION:Serious ocular rupture patients can retain the eyeball and restore some visual function by careful microsurgical repair,which should not be performed enucleate surgery easily.

R779.6