国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
7期
1316-1318
,共3页
后囊膜环形撕开%前节玻璃体切割%先天性白内障
後囊膜環形撕開%前節玻璃體切割%先天性白內障
후낭막배형시개%전절파리체절할%선천성백내장
posterior curvilinear capsulorhexis%anterior vitrectomy%congenital cataract
目的：比较两种治疗先天性白内障手术方式的临床疗效。方法：选择2009-12/2012-12在我院行白内障手术治疗的患儿52例84眼,按手术方式分为两组：A组超声乳化吸除+后囊膜环形撕开,B组采用超声乳化吸除+后囊膜环形撕开+前节玻璃体切割术。术后随访6~12mo,并记录术后视力以及并发症情况。<br> 结果：所有患儿术后矫正视力较术前均有提高,差异有统计学意义(P<0.05)；两组患儿术前视力差异无统计学意义(P>0.05),而术后矫正视力差异有统计学意义(P<0.05),B组矫正视力高于A组；两组术后并发症比较,仅后囊膜混浊( posterior capsule opacification,PCO)差异有统计学意义(P<0.05),B组术后PCO发生率(12%)远低于A组(53%),其他并发症组间差异均无统计学意义( P>0.05)。<br> 结论：与超声乳化吸除+后囊膜环形撕开相比,联合了前节玻璃体切割的手术方式能更好的改善术后矫正视力和减少PCO的发生。
目的：比較兩種治療先天性白內障手術方式的臨床療效。方法：選擇2009-12/2012-12在我院行白內障手術治療的患兒52例84眼,按手術方式分為兩組：A組超聲乳化吸除+後囊膜環形撕開,B組採用超聲乳化吸除+後囊膜環形撕開+前節玻璃體切割術。術後隨訪6~12mo,併記錄術後視力以及併髮癥情況。<br> 結果：所有患兒術後矯正視力較術前均有提高,差異有統計學意義(P<0.05)；兩組患兒術前視力差異無統計學意義(P>0.05),而術後矯正視力差異有統計學意義(P<0.05),B組矯正視力高于A組；兩組術後併髮癥比較,僅後囊膜混濁( posterior capsule opacification,PCO)差異有統計學意義(P<0.05),B組術後PCO髮生率(12%)遠低于A組(53%),其他併髮癥組間差異均無統計學意義( P>0.05)。<br> 結論：與超聲乳化吸除+後囊膜環形撕開相比,聯閤瞭前節玻璃體切割的手術方式能更好的改善術後矯正視力和減少PCO的髮生。
목적：비교량충치료선천성백내장수술방식적림상료효。방법：선택2009-12/2012-12재아원행백내장수술치료적환인52례84안,안수술방식분위량조：A조초성유화흡제+후낭막배형시개,B조채용초성유화흡제+후낭막배형시개+전절파리체절할술。술후수방6~12mo,병기록술후시력이급병발증정황。<br> 결과：소유환인술후교정시력교술전균유제고,차이유통계학의의(P<0.05)；량조환인술전시력차이무통계학의의(P>0.05),이술후교정시력차이유통계학의의(P<0.05),B조교정시력고우A조；량조술후병발증비교,부후낭막혼탁( posterior capsule opacification,PCO)차이유통계학의의(P<0.05),B조술후PCO발생솔(12%)원저우A조(53%),기타병발증조간차이균무통계학의의( P>0.05)。<br> 결론：여초성유화흡제+후낭막배형시개상비,연합료전절파리체절할적수술방식능경호적개선술후교정시력화감소PCO적발생。
AlM: To compare the clinical effects of two different surgical ways on congenital cataract. <br> METHODS: We selected 52 children ( 84 eyes ) with congenital cataract surgery between December 2009 and December 2012 in our hospital. They were divided into two groups based on the surgical way: A group were treated by phacoemulsification + posterior curvilinear capsulorhexis, B group were treated by phacoemulsification+posterior curvilinear capsulorhexis+anterior vitrectomy. The follow-up was 6-12mo, and postoperative corrected visual acuity and complications were observed. <br> RESULTS: Postoperative visual acuity of two groups were increased ( P< 0. 05 ). Preoperative visual acuity between two groups had no significant difference ( P>0. 05 ) , while postoperative visual acuity between two groups had significant difference (P<0. 05), group B was better than group A. Complications had no significant difference between two groups except posterior capsule opacification (PCO) (P<0. 05). The incidence rate of PCO in group B (12%) was far lower than group A (53%). <br> CONCLUSlON: Compare with phacoemulsification +posterior curvilinear capsulorhexis, the way combined with anterior vitrectomy can improve the postoperative visual acuity and decrease the incidence rate of PCO.
