發(fā)布時間：2018-08-12 13:30

【摘要】：目的：分析先天性白內(nèi)障術(shù)后導(dǎo)致晶狀體后囊混濁(posterior capsular opacities,PCO)的相關(guān)因素。方法：采用回顧性的分析方法,對52例(87眼)先天性白內(nèi)障患兒進(jìn)行分析,年齡3月～12歲不等,平均年齡4.7歲。其中行白內(nèi)障超聲乳化(Phaco)+后囊連續(xù)環(huán)形撕囊(PCCC)22例(30眼)；行白內(nèi)障超聲乳化(Phaco)+后囊連續(xù)環(huán)形撕囊(PCCC)+前部玻璃體切除術(shù)(AV)組30例(57眼)。術(shù)后Ⅰ期植入人工晶體(IOL)19例(27眼)；無晶體眼15例(27眼)；Ⅱ期植入IOL18例(33眼)。手術(shù)年齡小于等于2歲的22例(30眼)；年齡大于2歲的例30例(57眼)。術(shù)后隨訪6個月,觀察患者晶狀體后囊膜的變化。結(jié)果：至術(shù)后6個月末,18眼(20.69%)發(fā)生PCO,其中Phaco+PCCC組11眼(36.67%), Phaco+PCCC+AV組7眼(12.28%),兩組結(jié)果分析,x2=7.123,P0.05,差異有統(tǒng)計學(xué)意義。Ⅰ期IOL植入5眼(18.52%),無晶體眼5眼(18.52%),Ⅱ期IOL植入8眼(24.24%),經(jīng)x2檢驗,x2=0.409,P0.05,差異無統(tǒng)計學(xué)意義。手術(shù)年齡小于等于2歲13眼(36.11%),2歲以上5眼(9.80%),經(jīng)z-檢驗,x2=8.901,P0.05,差異有統(tǒng)計意義。結(jié)論：先天性白內(nèi)障術(shù)后PCO的發(fā)生與手術(shù)方式及手術(shù)年齡有關(guān)。前部玻璃體切除技術(shù)的應(yīng)用可以明顯減低術(shù)后PCO的發(fā)生率；手術(shù)年齡越小,術(shù)后PCO的發(fā)生率越高。
[Abstract]:Objective: to analyze the related factors of posterior capsular opacification (posterior capsular) after congenital cataract surgery. Methods: 52 children (87 eyes) with congenital cataract were analyzed retrospectively. The age ranged from 12 years to 12 years, with an average age of 4.7 years. There were 22 cases (30 eyes) of continuous circular capsulorhexis (PCCC) with cataract phacoemulsification (Phaco) and 30 cases (57 eyes) of (AV) group treated with phacoemulsification (Phaco) posterior capsular continuous circular capsulorhexis (PCCC) anterior vitrectomy. Intraocular lens (IOL) was implanted in 19 cases (27 eyes), aphakic eyes in 15 cases (27 eyes) and IOL18 implantation in 33 eyes (33 eyes). The operative age was less than 2 years in 22 cases (30 eyes) and over 2 years in 30 cases (57 eyes). Patients were followed up for 6 months to observe the changes of posterior capsule of lens. Results: PCOs occurred in 18 eyes (20.69%) at the end of 6 months after operation, including 11 eyes (36.67%) in Phaco PCCC group (7 eyes (12.28%) in), Phaco PCCC AV group). The difference between the two groups was statistically significant. IOL implantation was performed in 5 eyes (18.52%) in stage 鈪，

本文編號：2179201