儿童白内障不同手术方式的对比观察

The contrastion observation in different surgical treatments of pediation cataract.

目的探讨不同手术方式治疗儿童先天性白内障的疗效观察。方法年龄2月～6岁先天性白内障70例108眼随机分为两组。A组，术中用白内障抽吸联合后囊环形撕开及前部玻璃体切除术；B组仅用白内障抽吸联合后囊环形撕开术。术后观察12个月。结果A组后发障发生率为21．82％（12／55），B组为47．17％（25／53），差异有统计学意义（P〈0．05）。结论后囊环形撕开联合前部玻璃体切除术能明显降低儿童先天性白内障后发障的发生率。

Objective To observe the curative effect of the different surgical treatments, which used in pediatric congenital cataract. Methods 108 eyes of 70 patients with congenital cata- ract, aged from 2 months to 6 years old, were divided into two groups randomly. The eyes, in A group, were aspirated the lens with posterior continuous curvilinear capsulorhexis （PCCC） and anterior vitrectomy （A~）. The cases of B group were aspirated the lens with only posterior continuous curvilinear capsulorhexis （PC- CC）. All of the cases were followed up for 12 months after opera- tion. Results In A group, 21.82% （ 12/55 ） occured posterior capsular opacification （PCO）, and in B group the proportion is 47.17% （25/53）. The disparity had statistical means （P 〈 0. 05）. Conclusions Aspirating the lens with PCCC and AV can reduce the occurance of PCO obviously.