准分子激光原位角膜磨镶术相关角膜瓣并发症分析  

Analysis on flap related complications of laser in situ keratomeliusis

作　　者：马义宾[1] 宋大伟[1] 聂蓉晖[1] 

机构地区：[1]泰山医学院附属泰安医院眼科,山东泰安271000

出　　处：《泰山医学院学报》2008年第6期432-434,共3页Journal of Taishan Medical College

摘　　要：目的探讨准分子激光原位角膜磨镶术(LASIK)相关的角膜瓣并发症。方法回顾分析实施LASIK手术的2340例(4608眼)近视眼患者相关角膜瓣并发症的发生、影响因素及处理措施。结果LASIK相关角膜瓣并发症的发生率为1.04%(48/4608)。瓣下感染3例,占0.06%(3/4608),发生于术后前3天2例,术后13天1例;角膜瓣ButtonHole 8例,占0.17%(8/4608);角膜瓣明显偏位1例,占0.02%(1/4608);游离瓣11例,占0.24%(11/4608);术后早期角膜瓣移位、角膜瓣皱褶及瓣下异物19例,占0.41%(19/4608);角膜瓣下上皮植入4例,占0.09%(4/4608);术后远期外伤至角膜瓣移位2例,占0.04%(2/4608)。结论LASIK相关角膜瓣并发症的发生率较低,严格的手术操作、良好的设备可进一步减少并发症的发生。科学的处理,可获得良好的手术效果。Objective： To investigate the flap related complications of laser in situ keratomeliusis（LASIK）. Methods： The flap complications of LASIK were retrospectively analyzed in 4608 eyes of 2340 patients. Their affecting factors and treatment measures were proposed. Results： The overall rate of the flap related complications was 48 in 4608 （ 1.04% ）, infection 3 in 4608 （0.06%）, flap buttonhole 8 in 4608 （0. 17% ）, decentral flap 1 in 4608 （0.02%）, free cap 11 in 4608 （0.24%）, corneal flap folds and foreign body under the flap 19 in 4608 （0.41%）, epithelial implantation 4 in 4608 （0.87%）, and traumatic displaced flap 2 in 4608 （0.04%）. Conclusion： The incidence of the flap related complications is very low. Strict operation and nice facilities can decrease its occurrence. The clinical results are very satisfied if these complications are treated scientifically.

关 键 词：准分子激光原位角膜磨镶术 角膜瓣 并发症 

分 类 号：R779.63[医药卫生—眼科]