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时间:2019-10-15
《外伤性晶状体全脱位的手术方法比较要点》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、万方数据主堡竖处鱼亟些腿疸盘查!Q!!生!旦筮!!鲞筮!塑£堕!』Q!!!!望!坐Q!!!P坐兰Y!旦亟』业型旦丘!丛三坠幽‘703·外伤性晶状体全脱位的手术方法比较丁莉娟466000河南,周口市眼科医院通信作者:丁莉娟,Email:916451364@qq.conDOI:10.3760/cma.j.issn.2095-1477.2016.09.016·临床手艮道·【摘要】目的比较眼球挫伤所致晶状体脱位于玻璃体的两种手术方法的效果。方法眼球挫伤所致晶状体脱位于玻璃体的53例(53眼),随机分成两组:A组24例进行玻璃体切除术,再经角
2、膜缘切13摘出脱位于玻璃体的晶状体,以后进行二期人工晶状体植入。B组29例行玻璃体切除联合晶状体超声乳化及一期人工晶状体植入术,术后随访3~24个月,观察术后视力、眼压及手术并发症并进行统计学分析。结果A组中有效者(视力/>0.2)14例(58.33%),效果欠佳(视力≤0.1)者10例(41.67%)。B组有效者27例(93.10%),效果欠佳者2例(6.90%)。两组有效率比较差异具有统计学意Z(x2=9.06,P=0.003)。术中术后并发症:A组14例(58.33%)。B组6例(20.69%),两组比较并发症的发生率差异有统
3、计学意义瓴2=7.92,P=0.049)。结论玻璃体切除联合晶状体超声乳化及一期后房型人工晶状体缝线固定术可以获得较好的术后视力,可能是晶状体脱位于玻璃体的较为安全和有效的治疗方法。【关键词】晶状体全脱位,外伤性;玻璃体切除术;晶状体超声乳化术;晶状体,人工,缝线固定ThecomparisonoftwosurgicalmethodsforthetreatmentoftraumaticcompleteluxationoflensDingLijuanZhoukouMuncipalEyeHospital,Zhoukou,ttenan466
4、000,ChinaCorrespondingauthor:Ding嘶啪,l,Email:916451364@钾.con【Abstract】0bjectiveTocomparetheefficacybetweenthetwosurgicalmethodsforthetreatmentoftraumaticcompleteluxationoflensintovitreous.MethodsThedataof53eyesof53caseswithtraumaticlensluxationfallenintovitreouscavitytr
5、eatedbydifferentwaysofsurgerywerecollected.Thepatientswererandomlydividedintotwogroups.IngroupA,thepatientsunderwentvitrectomycombinedwithlensextractedthroughlimbusofcornea,intraocularlensciliarysuleussuturefixationatthesecondstage.IngroupB,thepatientsunderwentvitrecto
6、mycombinedwiththeultrasonicphacoemulsincationandimplantationofintraocularlens.Complicationaftersurgery,visionaftersurgery,intraocularpressurewereanalyzed.Thefollow—upperiodwas3monthsto2years.ResultsOf24casesingroupA,14easeswereeffective,withvisualacuity1>0.2(58.33%).10
7、cases(41.67%)hadvisualacuity≤0.1.Of29casesingroupB,27caseswereeffective(93.10%).Thecomparisonofsignificanttherapeuticeffectandtherapeuticeffectbetweentwogoupeshadstatisticalsignificance(,=9.06,P=0.003).Theintraoperativeandpostoperativecomplicationswereobservedin14cases
8、(58.33%)ingroupAand6eyes(20.69%)IngroupB.Thedifferencebetweenthetwogroupesincomplicationsasstatisticallysignificant(疋
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