玻璃体切割联合白内障手术的临床研究

Research in vitrectomy combined with cataract extraction

目的:探讨玻璃体切割联合与不联合白内障手术的并发症以及不联合白内障手术其手后白内障的发生率,为玻璃体切割联合白内障手术提供依据。方法:选择需行玻璃体切割手术有晶体眼156人156只眼,分为两组:A组为行玻璃体切割联合白内障手术86人(称为联合组),其中保留后囊膜设为联合组1:52人,不保留后囊膜组为联合组2:34人。B组为单纯玻璃体切割组70人(称为非联合组),行玻璃体切割手术,白内障手术方式为超声粉碎和超声乳化摘除术,观察手术后并发症以及白内障的发生率。结果:两组患者手术后并发症差异无显著性,气体填充白内障发生率半年后为49.03%,硅油眼白内障发生率为55.10%。结论:玻璃体切割联合白内障手术不会增加手术并发症,非联合手术白内障发生率较高,联合手术能最大程度避免短时间内进行多次手术。

Objective：to study the effect of vitrctomy combined with or without cataract extraction. Methods：There were 156 eyes. Team A 86 eyes were operated complicated with cataract extraction （phacoemulsificotion）.52 eyes keep post-capsule,34 eyes don＇t keep post-capsule. Team B 70 eyes simply with vitrectomy. The complications and the incidence of cataract after vitrectomy were observed. Results：The complications were no differents between the two team. The incidence of cataract tampond with C3F8 was 49.03%. The incidence of cataract in patients which tampond with silicone oil was 55.10%. Conclusions：Vitrectomy combined with cataract extraction is effective and safety. Vitrectomy combined can decrease the need of operation in short time.