玻璃体切除术后并发白内障与年龄的相关性分析

Association between post-vitrectomy cataract and age

目的探讨年龄在玻璃体切除术后并发白内障患者中的相关关系,为临床指导玻璃体切除联合白内障手术提供依据。方法回顾性分析370例进行玻璃体切除手术+注C3F8/注油(未联合白内障手术)的患者,分析不同年龄段患者术后白内障的发病率:≤40岁组为6.25%;41~50岁组为20.41%;51~60岁组为34.41%;61~70岁组为56.36%;≥71岁组为83.33%。结果玻璃体切除术在非直接损伤晶状体的情况下,患者年龄与玻璃体切除术后白内障的发生率显著相关(χ^2=72.55,P=0.00)。随着年龄的增大发病率增高,以71岁以上年龄段发病率(83.33%)最为显著。结论玻璃体切除术后白内障的发生率与年龄具有相关性:患者年龄越大术后并发性白内障的发病率越高。

Objective To observe the association between cataract after vitrectomy and patient age,and to provide basis for clinical guidance of vitrectomy combined with cataract surgery.Methods Retrospective analysis was performed on 370 patients who underwent vitrectomy+C3F8/oil injection(without cataract surgery).The incidence of postoperative cataract in patients of different age groups was analyzed,which was 6.25%in the≤40 years group,20.41%in the 41~50 years group,34.41%in the 51~60 years group,56.36%in the 61~70 years group and 83.33%in the≥71 years group.Results In the case of indirect lens injury after vitrectomy,patient age was significantly associated with the incidence of cataract after vitrectomy(χ^2=72.55,P=0.00).The prevalence rate increased with age,with the highest incidence rate(83.33%)in the≥71 years group.Conclusions The incidence of post-vitrectomy cataract was associated with patient age.The older the patients,the higher the incidence of post-vitrectomy cataract.