中国斜视与小儿眼科杂志
中國斜視與小兒眼科雜誌
중국사시여소인안과잡지
Chinese Journal of Strabismus & Pediatric Ophthalmology
2015年
3期
1-6,41
,共7页
郭智一%许江涛%袁援生
郭智一%許江濤%袁援生
곽지일%허강도%원원생
先天性白内障%手术%视觉发育%弱视
先天性白內障%手術%視覺髮育%弱視
선천성백내장%수술%시각발육%약시
congenital cataract%surgery%visual development%amblyopia
目的：探讨先天性白内障术式对视觉发育的影响。方法对59例（109眼）先天性白内障行不同术式治疗，分为A组先天性白内障吸出联合后囊膜截囊术20例（36眼），B组先天性白内障吸出联合前段玻璃体切割术39例（73眼），进行回顾性分析，比较两种术式术后并发症并对其中部分病例长期观察随访评价疗效。结果经统计学处理表明两种先天性白内障摘除术后对视觉发育的影响，B组较A组更优越，（χ2=42.81，<0.01）。结论先天性白内障摘除联合前段玻璃体切割术并发症少、疗效稳定，是治疗先天性白内障、促进患儿早期视觉发育较理想的手术方式。
目的：探討先天性白內障術式對視覺髮育的影響。方法對59例（109眼）先天性白內障行不同術式治療，分為A組先天性白內障吸齣聯閤後囊膜截囊術20例（36眼），B組先天性白內障吸齣聯閤前段玻璃體切割術39例（73眼），進行迴顧性分析，比較兩種術式術後併髮癥併對其中部分病例長期觀察隨訪評價療效。結果經統計學處理錶明兩種先天性白內障摘除術後對視覺髮育的影響，B組較A組更優越，（χ2=42.81，<0.01）。結論先天性白內障摘除聯閤前段玻璃體切割術併髮癥少、療效穩定，是治療先天性白內障、促進患兒早期視覺髮育較理想的手術方式。
목적：탐토선천성백내장술식대시각발육적영향。방법대59례（109안）선천성백내장행불동술식치료，분위A조선천성백내장흡출연합후낭막절낭술20례（36안），B조선천성백내장흡출연합전단파리체절할술39례（73안），진행회고성분석，비교량충술식술후병발증병대기중부분병례장기관찰수방평개료효。결과경통계학처리표명량충선천성백내장적제술후대시각발육적영향，B조교A조경우월，（χ2=42.81，<0.01）。결론선천성백내장적제연합전단파리체절할술병발증소、료효은정，시치료선천성백내장、촉진환인조기시각발육교이상적수술방식。
Objective To investigate the influence of the surgery selection of congenital cataract on the de-velopment of vision Methods 59 cases (109 eyes) were prepared to have the surgery of congenital cataract were divided into two groups. 20 cases (36 eyes) in group A had the congenital cataract extraction combined with pos-terior capsulotomy. 39 cases (73 eyes) in group B had the congenital cataract extraction combined with anterior vitrectomy. The postoperative complications of the two groups were compared and some cases have a long-term fol-low-up observations to evaluate the therapeutic effect. Results The visual acuity of group B was obviously better than group A (χ2 = 42.81, <0.01). Conclusion Congenital cataract extraction combined with anterior vitrectomy which have a stable therapeutic and is an ideal method to treat congenital cataract.
