临床眼科杂志
臨床眼科雜誌
림상안과잡지
JOURNAL OF CLINICAL OPHTHALMOLOGY
2014年
2期
122-125
,共4页
年龄%眼轴%高度近视眼%超声乳化白内障吸除术
年齡%眼軸%高度近視眼%超聲乳化白內障吸除術
년령%안축%고도근시안%초성유화백내장흡제술
Age%Axial length%High myopia%Phacoemulsification
目的：探讨白内障超声乳化吸除联合人工晶状体植入术治疗不同眼轴长度白内障患者的临床疗效。方法不同眼轴长度250例（250只眼）白内障采用超声乳化吸除联合人工晶状体植入术。短眼轴组50只眼（眼轴＜22 mm），正常眼轴组125只眼（22．00 mm≤眼轴＜26．00 mm），超长眼轴组75只眼（眼轴≥26．00 mm）。观察三组患者术中术后并发症：玻璃体的流失、后囊膜破裂、晶状体核碎片落入玻璃体腔、角膜水肿及人工晶状体移位。结果玻璃体的流失、角膜水肿及人工晶状体移位与眼轴长短之间无明显相关因素。不同眼轴组的后囊膜破裂发生率之间的比较，χ2＝10．79， P ＜0．05，差异有统计学意义，在短眼轴组发生率较超长眼轴组高。晶状体核碎片落入玻璃体腔与眼轴长短之前的比较，χ2＝8．89， P ＜0．05，差异有统计学意义，在短眼轴组和超长眼轴组的发生率相同。年龄是影响3组并发症发生率的重要因素。各种并发症随着年龄的增加而增加。患者性别及眼别与并发症的发生无明显关联因素。结论年龄是白内障超声乳化人吸除工晶状体植入术中并发症的主要影响因素。提前意识这些并发症并预防性的做好准备可减少此类并发症的发生。
目的：探討白內障超聲乳化吸除聯閤人工晶狀體植入術治療不同眼軸長度白內障患者的臨床療效。方法不同眼軸長度250例（250隻眼）白內障採用超聲乳化吸除聯閤人工晶狀體植入術。短眼軸組50隻眼（眼軸＜22 mm），正常眼軸組125隻眼（22．00 mm≤眼軸＜26．00 mm），超長眼軸組75隻眼（眼軸≥26．00 mm）。觀察三組患者術中術後併髮癥：玻璃體的流失、後囊膜破裂、晶狀體覈碎片落入玻璃體腔、角膜水腫及人工晶狀體移位。結果玻璃體的流失、角膜水腫及人工晶狀體移位與眼軸長短之間無明顯相關因素。不同眼軸組的後囊膜破裂髮生率之間的比較，χ2＝10．79， P ＜0．05，差異有統計學意義，在短眼軸組髮生率較超長眼軸組高。晶狀體覈碎片落入玻璃體腔與眼軸長短之前的比較，χ2＝8．89， P ＜0．05，差異有統計學意義，在短眼軸組和超長眼軸組的髮生率相同。年齡是影響3組併髮癥髮生率的重要因素。各種併髮癥隨著年齡的增加而增加。患者性彆及眼彆與併髮癥的髮生無明顯關聯因素。結論年齡是白內障超聲乳化人吸除工晶狀體植入術中併髮癥的主要影響因素。提前意識這些併髮癥併預防性的做好準備可減少此類併髮癥的髮生。
목적：탐토백내장초성유화흡제연합인공정상체식입술치료불동안축장도백내장환자적림상료효。방법불동안축장도250례（250지안）백내장채용초성유화흡제연합인공정상체식입술。단안축조50지안（안축＜22 mm），정상안축조125지안（22．00 mm≤안축＜26．00 mm），초장안축조75지안（안축≥26．00 mm）。관찰삼조환자술중술후병발증：파리체적류실、후낭막파렬、정상체핵쇄편락입파리체강、각막수종급인공정상체이위。결과파리체적류실、각막수종급인공정상체이위여안축장단지간무명현상관인소。불동안축조적후낭막파렬발생솔지간적비교，χ2＝10．79， P ＜0．05，차이유통계학의의，재단안축조발생솔교초장안축조고。정상체핵쇄편락입파리체강여안축장단지전적비교，χ2＝8．89， P ＜0．05，차이유통계학의의，재단안축조화초장안축조적발생솔상동。년령시영향3조병발증발생솔적중요인소。각충병발증수착년령적증가이증가。환자성별급안별여병발증적발생무명현관련인소。결론년령시백내장초성유화인흡제공정상체식입술중병발증적주요영향인소。제전의식저사병발증병예방성적주호준비가감소차류병발증적발생。
Objective Objective To investigate the clinical effects of cataract extraction with phacoemulsification and intraocular lens ( IOL) implantation in patients with different axial length eyes .Methods We selected 250 eyes in 250 cataract patients who all underwent phacoemulsification with intraocular lens implantation .Fifty eyes fell in the short group with axial lengths lesser than 22 mm.One hundred and twenty-five eyes fell in the normal group with axial lengths equal or greater than 22 or lesser than 26 mm,and seventy-five eyes were considered myopic with axial length equal or greater than 26 mm.The three groups were compared regarding intraoperative surgical complications , such as corneal edema , vitreous loss,posterior capsular rupture , nucleoles drop , and undesirable implantation of IOL in the anterior chamber .Results There was no significant correlation with axial length and incidence of vitreous loss ,corneal edema and undesirable implan-tation of IOL in the anterior chamber ,although the incidence rate of posterior capsular rupture and nucleus fragment drops increased with increment in axial length and decrement in axial length .Comparison complications of posterior capsular rup-ture with different axial length eyes was χ2 =10.79, P <0.05.Comparison complications of nucleus fragment drops with different axial length eyes was χ2 =8.89, P <0.05.Axial lenth and age were two risk factors in three groups .And with age increased ,the incidence rate of complications raised .To patients whose axial length were too long or too short ,the inci-dence rate of the complications was rise .Sex of the patients and side of the left or right eye were not found to be significant risk factors.Conclusion It is safe and effective for cataract with long or short ocular axis patients to implant IOL after phacoemulsification .Age and high or low axial length were statistically significant risk factors for incidence of intraoperative complications of cataract surgery with phacoemulsification technique .Anticipation of these complications and also prepara-tion and prophylactic measures may decrease incidence of these complications .
