水分离联合囊袋内核旋转对白内障术后后囊混浊的影响  

Hydro-dissection combined with nucleus rotation in the capsular bag for posterior capsular opacification

作　　者：胡海鹏[1] 张秀萍[1] 邵铁军[1] 任桂芳[1] 栾宏[1] 

机构地区：[1]济南市第四人民医院眼科,济南250031

出　　处：《山东大学耳鼻喉眼学报》2008年第4期353-355,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨白内障手术过程中水分离联合囊袋内核旋转对白内障术后后囊混浊的影响作用。方法将行超声乳化白内障摘除人工晶状体植入术的224例（240眼）分为A、B两组，A组为应用水分离联合囊袋内核旋转的老年性白内障患者116例（124眼），B组为不使用囊袋内核旋转的老年性白内障患者108例（116眼）。两组术后随访12～30个月，比较两组后囊膜混浊（PCO）的发生率及Nd：YAG激光后囊膜切开百分率、囊膜混浊程度。结果A组、B组后囊膜混浊百分率分别为8．06％、20．69％，YAG后囊切开百分率分别为2．42％、8．62％，两组差异均有统计学意义（P〈0．01，P〈0．05）；两组后囊膜混浊程度分级后行轶和检验，差异有统计学意义（P=0．005）。结论白内障手术过程中应用水分离联合囊袋内核旋转对白内障术后后囊膜混浊有较好的抑制作用。Objective To investigate the inhibitive effect of hydro-dissection combined with nucleus rotation in the capsular bag on posterior capsular opacification （PCO） in cataract surgeries, Methods 124 eyes were treated with hydrodissection combined with nucleus rotation（group A） and 116 eyes with only hydrodissection （group B） after phacoemulsification with IOL implantation from August 2003 to September 2006. Followed up from 12 to 30 months, differences in incidence and quantification of PCO and incidence of Nd：YAG laser capsulotomy between the two groups were compared. Results PCO incidence rate in groups A and B respectively was 8.06% and 20.69%. Nd：YAG laser capsulotomy was performed in 2.42% and 8.62% of groups A and B. Conclusion Hydrodissecfion combined with nucleus rotation in the capsular bag is effective in inhibiting PCO after cataract surgeries.

关 键 词：水分离 核旋转 囊袋 白内障 后囊膜混浊 

分 类 号：R776.1[医药卫生—眼科]