眼科住院医师在急诊科进行的外伤性眼睑撕裂修复的结果
Outcomes of Traumatic Eyelid Laceration Repairs by Ophthalmology Residents Performed in the Emergency Department.
摘要(中文译文)
引言：眼睑裂伤是急诊科（ED）常见的问题，通常由眼科住院医师处理。本研究旨在评估由眼科住院医师修复的眼睑裂伤的治疗效果。方法：本研究为一项多中心回顾性研究，纳入287例因眼睑裂伤就诊于急诊科并由南加州四家机构（洛马林达大学（LLU）、河滨大学健康系统（RUHS）、加州大学欧文分校（UCI）和洛杉矶总医院（LAGMC））之一的眼科住院医师进行修复的患者。结果：约半数患者（134例；47%）失访。在获得随访的患者中，由PGY-2住院医师在有监督下修复的裂伤（7/21；35%）与无监督下修复的裂伤（6/32；19%）再手术率无统计学显著差异。当PGY-2住院医师作为主要术者独自在急诊室完成手术时，并发症发生率为41%（13/32）。当PGY-2住院医师在高年资住院医师、专科培训医师或主治医师协助下手术时，并发症发生率降至29%（6/21）。高年资住院医师（PGY-3或PGY-4）在急诊科进行修复的并发症发生率为23%（5/22），若有专科培训医师或主治医师监督则为17%（1/6）（p=1.00）。最常见的并发症为眼睑切迹（10/153；6.5%），其次为溢泪（9/153；5.9%）和上睑下垂（7/153；4.6%）。结论：在急诊科接受眼睑裂伤修复的患者中约半数失访。在获得随访并纳入本数据集的患者中，总体并发症发生率与文献中既往记录的并发症发生率相似。PGY-2住院医师独自手术与在有监督下修复相比，再手术率无显著差异。住院医师在处理复杂裂伤时能够适当地请求监督。
Abstract
Introductory statement Eyelid lacerations are a common problem in the emergency department (ED) that ophthalmology residents manage. This study aims to evaluate the outcomes of eyelid lacerations repaired by ophthalmology residents. Methods A multicenter retrospective study was performed on 287 patients who presented to the ED with eyelid lacerations that were repaired by an ophthalmology resident at one of the four Southern California institutions (Loma Linda University (LLU), Riverside University Health System (RUHS), University of California Irvine (UCI), and Los Angeles General Medical Center (LAGMC)). Results Approximately half of the patients (134; 47%) were lost to follow-up. Of the patients with follow-up, there was no statistically significant difference in re-operation rate for lacerations repaired by PGY-2 residents with supervision (7/21; 35%) and without supervision (6/32; 19%). When a PGY-2 performed the procedure as the primary surgeon solo in the emergency room, the complication rate was 41% (13/32). When the PGY-2 had the assistance of a senior resident, fellow, or attending, the complication rate dropped to 29% (6/21). The complication rate for an upper-level resident (PGY-3 or PGY-4) performing the repair in the ED was 23% (5/22) and 17% (1/6) if supervised by a fellow or attending (p=1.00). The most common complication was eyelid notching (10/153; 6.5%), followed by epiphora (9/153; 5.9%) and blepharoptosis (7/153; 4.6%). Conclusions Approximately half of the patients who underwent eyelid laceration repair in the ED were lost to follow-up. Of the patients who followed up and are included in this data set, the overall complication rate was similar to previously recorded complication rates recorded in the literature. Re-operation rates were not significantly different when the PGY-2 resident operated alone compared to repair with supervision. Residents were appropriately calling for supervision when dealing with a complicated laceration.
如何引用
AMA
Georgia L Schafer, Marina Gad El Sayed, Natalie Chen, Shaili Davuluru, Teresa Chen, Sandy Zhang-Nunes, et al. Outcomes of Traumatic Eyelid Laceration Repairs by Ophthalmology Residents Performed in the Emergency Department.. Cureus. 2026; doi:10.7759/cureus.110056.
APA
Georgia L Schafer, Marina Gad El Sayed, Natalie Chen, Shaili Davuluru, Teresa Chen, Sandy Zhang-Nunes, et al (2026). Outcomes of Traumatic Eyelid Laceration Repairs by Ophthalmology Residents Performed in the Emergency Department.. Cureus. https://doi.org/10.7759/cureus.110056
GB/T 7714
Georgia L Schafer, Marina Gad El Sayed, Natalie Chen, Shaili Davuluru, Teresa Chen, Sandy Zhang-Nunes, et al. Outcomes of Traumatic Eyelid Laceration Repairs by Ophthalmology Residents Performed in the Emergency Department.[J]. Cureus, 2026 doi:10.7759/cureus.110056.
在 PubMed增强版 阅读全文
翻译全文 · AI 文献问答 · PDF 原文下载 · 引用导出