超声乳化白内障吸除术中发生晶状体后囊膜破裂的风险因素及预后效果分析.docVIP

超声乳化白内障吸除术中发生晶状体后囊膜破裂的风险因素及预后效果分析 　　【摘要】 目的：探讨分析超声乳化白内障吸除术中发生晶状体后囊膜破裂的风险因素及预后效果。方法：选取2009年12月-2015年12月来本院就诊并接受超声乳化白内障吸除术治疗的白内障患者1267例共1302眼，术中发生晶状体后囊膜破裂的患者为观察组（45例），按照1∶4的比例随机选取患者为对照组（180例），对所有患者的年龄、性别、病史、眼别、白内障类型、术前眼压、术前视网膜电生理结果、术前和术后的视力、视敏度、分级以及吸烟饮酒史等情况进行统计，并分析超声乳化白内障吸除术中发生晶状体后囊膜破裂的风险因素以及术中后囊膜破裂对患者预后视力的效果影响。结果：性别、术前视力以及晶状体核分型是影响超声乳化白内障吸除术中发生晶状体后囊膜破裂的风险因素（P0.05）；且男性术中晶状体后囊膜破裂发生率显著高于女性（P0.05）。观察组患者中晶状体核型Ⅲ度及以上者明显高于对照组（P0.05）；观察组患者术前和术后的视力均差于对照组（P0.05）；两组患者术后视力均较术前有所好转，差异均有统计学意义（P0.05）。结论：性别、术前视力及晶状体核分型是影响超声乳化白内障吸除术中发生晶状体后囊膜破裂的风险因素，且术中发生后囊膜破裂对患者预后视力的恢复造成一定的影响。 　　【关键词】 超声乳化白内障吸除术； 晶状体后囊膜破裂； 风险因素； 预后效果 　　【Abstract】 Objective：To investigate the prognosis and risk factors of posterior capsule rupture in phacoemulsification of cataract.Method：A total of 1302 eyes in 1267 patients with cataract were treated in our hospital with phacoemulsification surgery from December 2009 to December 2015.The patients that occurred posterior capsule rupture during intraoperative were divided into observation group（45 cases），and randomly selected patients with 1∶4 ratio into control group（180 cases）.The age，gender，medical history，eye categor，cataract type，preoperative intraocular pressure，preoperative retinal electrophysiological results，preoperative and postoperative visual acuity，visual acuity，grading history，smoking history and drinking history of all patients were statistically analyzed，and analyzed the prognosis and risk factors of posterior capsule rupture in phacoemulsification of cataract.Result：The risk factors of posterior capsule rupture in phacoemulsification of cataract were gender，preoperative visual acuity and the nuclear stages （P0.05）.The rate of intraoperative posterior capsule rupture in men was significantly higher than that in women（P0.05）.The nuclear stages in type Ⅲ and above of observation group was significantly higher than that of control group（P0.05）.The visual acuity in preoperative and postoperative of observation group were significantly worse than of c