CAJ | 학술논문

目的评价23G玻璃体切除系统切除晶状体及前段玻璃体对于儿童先天性白内障的疗效.方法 2009年1月至2013年12月在我院行先天性白内障手术年龄0.5 ～2岁44例(71眼)的临床资料.随机分为两组:A组(对照组):白内障摘出+后囊环形撕囊+前段玻璃体切除;B组(观察组):23G玻璃体切除系统行晶状体及前段玻璃体切除.比较两组患儿术后视力及术中术后并发症情况.结果 B组术后最佳矫正视力较术前提高程度优于A组(t=2.334,P＜0.05).结论应用23G玻璃体切除系统行晶状体吸出及前段玻切手术,手术安全有效,手术创伤小,操作容易控制,术后炎症反应轻,术后视力恢复较好.
목적 평개23G파리체절제계통절제정상체급전단파리체대우인동선천성백내장적료효.방법 2009년1월지2013년12월재아원행선천성백내장수술년령0.5 ～2세44례(71안)적림상자료.수궤분위량조:A조(대조조):백내장적출+후낭배형시낭+전단파리체절제;B조(관찰조):23G파리체절제계통행정상체급전단파리체절제.비교량조환인술후시력급술중술후병발증정황.결과 B조술후최가교정시력교술전제고정도우우A조(t=2.334,P＜0.05).결론 응용23G파리체절제계통행정상체흡출급전단파절수술,수술안전유효,수술창상소,조작용역공제,술후염증반응경,술후시력회복교호.
Objective To evaluate the effect of lensectomy and anterior vitrectomy with 23-gauge transconjunctival vitrectomy system for pediatric cataract.Methods Seventy-one eyes of 71 cases with pediatric cataract in our hospital from January 2009 to December 2013 were retrospectively studied.The age range was 0.5 to 2.0 years old and all cases were randomly divided into two groups:group A (control group)received posterior continuous curvilinear capsularhexis combined with anterior vitrectomy; lensectomy with 23-gauge vitrectomy system was performed to group B (observation group).The visual acuity,posterior capsular opacification and other complications after operation were compared between two groups.Results There was significant difference in the improvement of best corrected visual acuity between two groups after operation (t =2.334,P ＜ O.05).The incidence of corneal edema,iris prolapse,cystoid macular edema and retinal detachment of group B were less than those of group A (P ＜ 0.05).Conclusion 23 G vitrectomy system for lensectomy is a safe,effective and minimally invasive method for the treatment of pediatric cataract.