超声乳化白内障吸除术中晶状体后囊膜破裂风险因素及预后分析

发布时间：2018-03-19 08:26

  本文选题：超声乳化白内障吸除术　切入点：晶状体　出处：《中国现代医学杂志》2016年22期 　论文类型：期刊论文

【摘要】：目的探讨超声乳化白内障吸除术中晶状体后囊膜破裂的相关风险因素及预后。方法选取2014年1月-2015月10日于河北省眼科医院行超声乳化白内障吸除术的患者2 409例(2 576只眼)为研究对象进行回顾性资料分析,发生后囊膜破裂的24例(26只眼)患者作为观察组,以1∶5的比例,从剩余患者中采用随机数列选取120例(135只眼)患者作为对照组,若选中的患者发生后囊膜破裂,则剔除继续选择。比较两组患者年龄、性别、术前眼压、白内障类型及分级、术前术后视力、青光眼病史、合并疾病等临床资料,分析后囊膜破裂的相关风险因素及预后。结果男性晶状体后囊膜破裂发生率明显高于女性(P0.05);术前视力20/200是后囊膜破裂的相关风险因素(P0.05);白内障Ⅳ级核及以上的后囊膜破裂发生率明显增高,差异有统计学意义(P0.05);观察组术前平均视力(2.3±0.8)LogMAR,术后平均视力(1.1±0.6)LogMAR,差异有统计学意义(P0.05),对照组术前平均视力(1.7±0.4)LogMAR,术后平均视力(0.8±0.5)LogMAR,差异有统计学意义(P0.05);患者年龄、眼别、术前眼压、青光眼病史、合并疾病等与后囊膜破裂无明显相关性(P0.05)。结论性别、术前视力、白内障核分级均影响超声乳化白内障吸除术患者后囊膜破裂的发生,临床诊疗过程中应避免术后晶状体后囊膜破裂,以促进患者视力恢复。
[Abstract]:Objective to investigate the risk factors and prognosis of posterior capsular rupture during phacoemulsification. Methods 2 409 patients undergoing phacoemulsification cataract extraction from January 2014 to 10th 2015 were selected. 2 576 eyes were analyzed retrospectively. 24 patients with posterior capsule rupture (26 eyes) were used as observation group, 120 patients (135 eyes) were randomly selected from the remaining patients as the control group, if the selected patients had posterior capsule rupture, The age, sex, preoperative intraocular pressure, cataract type and classification, preoperative and postoperative visual acuity, history of glaucoma, complicated diseases and other clinical data were compared between the two groups. Results the incidence of posterior capsular rupture in men was significantly higher than that in women (P 0.05); preoperative visual acuity 20/200 was the risk factor for posterior capsule rupture (P 0.05); cataract grade 鈪，

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