中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
12期
55-56
,共2页
小切口白内障手术%后囊破裂%原因分析%应对措施
小切口白內障手術%後囊破裂%原因分析%應對措施
소절구백내장수술%후낭파렬%원인분석%응대조시
Small incision cataract%Capsular rupture%Reason analysis%Countermeasure
目的 总结分析小切口白内障手术中后囊破裂的主要原因和合理的应对措施.方法 选择2010年3月至2013年3月西峡县人民医院收治的1582例白内障患者为研究对象,给予小切口白内障摘除手术治疗,回顾性分析其临床资料,总结后囊破裂的发生原因及处理措施.结果 1582例小切口白内障手术患者中48例出现后囊破裂,经处理后均顺利植入人工晶状体;术后视力恢复0.5以上18例,0.3～0.5 16例,0.1 ～0.3 10例,0.05～0.14例;术后12例出现角膜内皮水肿,8例前房纤维素样渗出,6例出现瞳孔欠圆,6例残留皮质,未出现其他严重性并发症.结论 小切口白内障手术中眼压控制不良、切口不合理、截囊或撕囊操作不当、瞳孔较小等因素使得后囊破裂难以完全避免,但只要及时给予合理的处理措施,仍可顺利植入人工晶状体,取得满意的疗效,促进视力恢复.
目的 總結分析小切口白內障手術中後囊破裂的主要原因和閤理的應對措施.方法 選擇2010年3月至2013年3月西峽縣人民醫院收治的1582例白內障患者為研究對象,給予小切口白內障摘除手術治療,迴顧性分析其臨床資料,總結後囊破裂的髮生原因及處理措施.結果 1582例小切口白內障手術患者中48例齣現後囊破裂,經處理後均順利植入人工晶狀體;術後視力恢複0.5以上18例,0.3～0.5 16例,0.1 ～0.3 10例,0.05～0.14例;術後12例齣現角膜內皮水腫,8例前房纖維素樣滲齣,6例齣現瞳孔欠圓,6例殘留皮質,未齣現其他嚴重性併髮癥.結論 小切口白內障手術中眼壓控製不良、切口不閤理、截囊或撕囊操作不噹、瞳孔較小等因素使得後囊破裂難以完全避免,但隻要及時給予閤理的處理措施,仍可順利植入人工晶狀體,取得滿意的療效,促進視力恢複.
목적 총결분석소절구백내장수술중후낭파렬적주요원인화합리적응대조시.방법 선택2010년3월지2013년3월서협현인민의원수치적1582례백내장환자위연구대상,급여소절구백내장적제수술치료,회고성분석기림상자료,총결후낭파렬적발생원인급처리조시.결과 1582례소절구백내장수술환자중48례출현후낭파렬,경처리후균순리식입인공정상체;술후시력회복0.5이상18례,0.3～0.5 16례,0.1 ～0.3 10례,0.05～0.14례;술후12례출현각막내피수종,8례전방섬유소양삼출,6례출현동공흠원,6례잔류피질,미출현기타엄중성병발증.결론 소절구백내장수술중안압공제불량、절구불합리、절낭혹시낭조작불당、동공교소등인소사득후낭파렬난이완전피면,단지요급시급여합리적처리조시,잉가순리식입인공정상체,취득만의적료효,촉진시력회복.
Objective To analyze and investigate the causes of capsular rupture after operation of small incision cataract and its according meansures.Methods Fifteen hundred and eighty-two patients with cataract in the people's hospital of Xixia from March 2010 to March 2013 were selected and treated by operation of small incision cataract extraction.The clinical data were reviewed,and the causes and treatment of capsular rupture were summarized.Results In all the cases,forty-eight cases occurred rupture of posterior capsule,and the intraocular lens were successfully implanted.Eighteen cases got visual acuity more than 0.5 postoperatively,16 cases of postoperative visual acuity was 0.3-0.5,10 cases of postoperative visual acuity was 0.1-0.3,4 cases of postoperative vision was 0.05-0.1;12 cases occurred corneal edema,8 cases had anterior chamber fibrinoid exudation,6 cases not round pupil,6 cases of residual cortex,no other serious complication.Conclusions Over the small incision cataract operation,uncontrollable intraocular pressure in the control side,unreasonable incision,improper capsulotomy or capsulorhexis,small pupils of the posterior capsule rupture can not be completely avoided;however,as long as there is timely and reasonable measures,IOL can be successfully implanted,and satisfactory curative effect can be obtained with promoted visual acuity recovery.
