白内障手术中晶状体后囊膜破裂的相关因素研究

发布时间：2018-09-02 09:44

【摘要】：目的探讨白内障手术中晶状体后囊膜破裂的相关因素。方法选取2014年2月-2015年4月贵州省妇幼保健院收治的白内障手术中晶状体后囊膜破裂患者36例(37眼),按照1:4的比例选取白内障手术中晶状体后囊膜未破裂患者144例(147眼),比较两组患者术后视力,对晶状体后囊膜破裂的相关因素进行分析。结果破裂组36例,37眼,术后视力0.1的1例,0.1~0.3的5例,0.4~0.8的19例,≥0.9的12例;未破裂组144例,147眼,术后视力0.1的1例,0.1~0.3的7例,0.4~0.8的68例,≥0.9的71例。两组(破裂组和未破裂组)患者Emery核分级、术前视力、合并高血压、植入人工晶体、玻璃体积血差异均具有统计学意义(P0.05)。对单因素分析中有统计学意义的数据进行多因素Logistic回归分析,结果显示术前视力、玻璃体积血是影响白内障手术中晶状体后囊膜破裂的独立危险因素(P0.05)。结论白内障手术中晶状体后囊膜破裂能够降低患者视力,其中术前视力、玻璃体积血是影响晶状体后囊膜破裂的独立危险因素。
[Abstract]:Objective to investigate the related factors of posterior capsular rupture in cataract surgery. Methods from February 2014 to April 2015, 36 patients (37 eyes) with posterior capsule rupture were selected from cataract surgery in Guizhou Provincial Maternal and Child Health Hospital. 144 patients with unruptured posterior capsule were selected according to 1:4 ratio. Cases (147 eyes). The postoperative visual acuity was compared between the two groups. The factors related to posterior capsular rupture were analyzed. Results in the ruptured group, 36 cases (37 eyes) were found to have visual acuity, 1 case (0.1%) was 0.1 or 0.3 (19 cases), 12 cases (鈮，

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