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超声乳化白内障摘出联合CTR植入治疗高度近视并发白内障 被引量:17
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作者 范永琦 申飞 +1 位作者 张晨霞 朱珂珂 《国际眼科杂志》 CAS 北大核心 2021年第9期1535-1538,共4页
目的:探究超声乳化白内障摘出联合囊袋张力环(CTR)植入治疗高度近视并发白内障患者的疗效,并分析其安全性。方法:回顾性分析我院186例186眼行超声乳化白内障摘出+人工晶状体(IOL)植入治疗的高度近视并发白内障患者临床资料,其中98例98... 目的:探究超声乳化白内障摘出联合囊袋张力环(CTR)植入治疗高度近视并发白内障患者的疗效,并分析其安全性。方法:回顾性分析我院186例186眼行超声乳化白内障摘出+人工晶状体(IOL)植入治疗的高度近视并发白内障患者临床资料,其中98例98眼联合CTR植入治疗(联合组),88例88眼未联合CTR植入治疗(对照组)。记录两组术前,术后1、3、6mo时最佳矫正视力(BCVA,LogMAR)、视觉质量[高阶像差的均方根值(RMS)]、角膜内皮细胞密度,评估术后1、3、6mo时前囊口面积、IOL倾斜角变化情况,并比较两组术后前囊膜混浊、后囊膜混浊、囊袋收缩综合征等并发症发生情况差异。结果:两组BCVA具有交互效应(P<0.05),两组术后BCVA值均较术前降低(P<0.05),且联合组术后BCVA值均低于对照组(P<0.05)。两组总高阶像差RMS具有交互效应(P<0.05),两组术后总高阶像差RMS均较术前升高(P<0.05),且联合组术后总高阶像差RMS均低于对照组(P<0.05)。两组术后前囊口面积具有交互效应(P<0.05),组内均随术后时间的延长而降低(P<0.05),且联合组术后3、6mo时均高于对照组(P<0.05)。两组术后IOL倾斜角具有交互效应(P<0.05),组内均随术后时间的延长而升高(P<0.05),且联合组术后3、6mo时均低于对照组(P<0.05)。两组术后角膜内皮细胞密度均较术前降低(P<0.05),但并无交互效应(P>0.05)。结论:超声乳化白内障摘出+IOL植入+CTR植入术可改善高度近视并发白内障患者视觉功能,术后并发症少,疗效及安全性良好。 展开更多
关键词 高度近视 白内障 超声乳化白内障摘出术 人工晶状体植入 囊袋张力环 前囊口面积
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Influences of laparoscopic radical correction of oophoroma combined with chemotherapy on tumor related factors and immunologic function levels
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作者 Jun-Xu Zhou Jing Ling +1 位作者 chen-xia zhang Qun-Ying Wu 《Journal of Hainan Medical University》 2018年第7期47-50,共4页
Objective: To study the influence of laparoscopic radical correction of oophoroma combined with chemotherapy on Tumor related factors and immunologic function levels. Methods:Retrospective analyses the 95 cases of ova... Objective: To study the influence of laparoscopic radical correction of oophoroma combined with chemotherapy on Tumor related factors and immunologic function levels. Methods:Retrospective analyses the 95 cases of ovarian cancer in our hospital from January 2013 to September 2017, which were divided into the control group and the observation group. The patients in the observation group underwent laparoscopic ovarian cancer radical surgery, the control group underwent open radical resection of ovarian cancer, two patients were combined with TP chemotherapy, the levels of serum MMP-9, HE4, YKL-40, EPO, PRL, TSGF and T lymphocyte subsets (CD3+, CD4+, CD8+ and CD4+/CD8+) in two groups before and after treatment were detected and compared. Results: (1) Before treatment, there was no statistical difference between the levels of serum MMP-9, HE4, YKL-40, EPO, PRL, TSGF in the two groups;After treatment, the levels of serum MMP-9, HE4, YKL-40, EPO, PRL, TSGF in the control group were statistically significant compared with those before treatment in the same group, and the differences were statistically significant between the two groups. (2) Before treatment, there was no statistical difference between the levels of serum T lymphocyte subsets (CD3+, CD4+, CD8+, CD4+/CD8+) in the two groups;After treatment, the differences of serum CD3+, CD4+, CD8+, CD4+/CD8+ were statistically significant compared with those before treatment in the same group, but the differences were not statistically significant between the two groups. Conclusion: Chemotherapy in patients with ovarian cancer TP in laparoscopic radical resection after, can not only significantly improve the patient's serum MMP-9, HE4, YKL-40, EPO, PRL, TSGF level. Moreover, compared with the simple operation, this method does not significantly affect the T lymphocyte subsets of the patients, and is worthy of clinical application. 展开更多
关键词 Oophoroma LAPAROSCOPIC RADICAL CORRECTION TP CHEMOTHERAPY Serum index IMMUNOLOGIC function
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