王剑锋, 朱美玲. 婴幼儿先天性白内障超声吸除术[J]. 蚌埠医学院学报, 2005, 30(2): 135-137.
    引用本文: 王剑锋, 朱美玲. 婴幼儿先天性白内障超声吸除术[J]. 蚌埠医学院学报, 2005, 30(2): 135-137.
    WANG Jian-feng, ZHU Mei-ling. Phacoemulsification for infantile congenital cataract[J]. Journal of Bengbu Medical College, 2005, 30(2): 135-137.
    Citation: WANG Jian-feng, ZHU Mei-ling. Phacoemulsification for infantile congenital cataract[J]. Journal of Bengbu Medical College, 2005, 30(2): 135-137.

    婴幼儿先天性白内障超声吸除术

    Phacoemulsification for infantile congenital cataract

    • 摘要: 目的: 探讨婴幼儿先天性白内障超声乳化吸除术的手术疗效。方法: 对行白内障超声吸除术(超声吸除组)的婴幼儿11例(20眼)及行现代囊外白内障摘除术(囊外组)的婴幼儿14例(23眼)术后随访12~18个月,比较术中、术后并发症。结果: 术中、术后超声吸除组并发症的发生率均明显低于囊外组(P<0.05~P<0.005)。12个月内超声吸除组后发障的发生率低于囊外组(P<0.05),且发生时间延迟。结论: 白内障超声吸除术的负压吸引可最大限度地清除残存的晶体上皮细胞,器械不需反复进出前房,眼内组织损伤小,术中、术后并发症少,后发障发生率低且发生时间延迟。完整的环形撕囊为二期囊袋重建及人工晶体的囊袋内固定创造条件。

       

      Abstract: Objective: To investigate the operative effect of phacoemulsification on infantile congenital cataract.Methods: Of the 43 eyes of 25 infants with congenital cataract, phacoemulsification was performed on 20 eyes of 11 infants,and cataract extracapsular extraction was performed on 23 eyes of 14 infants.All the cases were followed up for 12-18 months.Results: There were significant differences in the occurrence of various complications (P<0.05-P<0.005).Within 12 months, the phacoemulsification group had a lower rate of posterior capsular opcification than the cataract extracapsular extraction group (P<0.05).Conclusions: Phacoemulsification has minimal complications and can relieve or delay posterior capsular opcification.Intact circular capsularhexis will be necessary for stage 2 capsular bag reconstruction.

       

    /

    返回文章
    返回