张力线法后囊膜切开术治疗晶状体后囊膜混浊  

The Tension Line Method of Posterior Capsulotomy for Intraocular Lens Posterior Capsular Opacification

作　　者：李蕾[1] 姜红[1] 邱红[1] 魏秀华[1] 纪元 马艳辉[1] LI Lei;JIANG Hong;QIU Hong;WEI Xiuhua;JI Yuan;MA Yanhui(The Department of Ophthalmic,Daqing City People＇s Hospitol,Daqing Heilongjiang 163316,China)

机构地区：[1]大庆市人民医院眼科,黑龙江大庆163316

出　　处：《中国卫生标准管理》2018年第13期46-48,共3页China Health Standard Management

摘　　要：目的探讨张力线后囊膜切开术治疗晶状体后囊膜混浊的临床价值。方法选择我院人工晶状体植入术后晶状体后囊膜浑浊需手术治疗者70例。观察组35例(42眼)采用张力线法后囊膜切开术,对照组35例(40眼)采用十字切开法后囊膜切开术。结果观察组手术时间短于对照组,单次最小切开能量及总能量小于对照组,点数少于对照组(P<0.05)。术后7 d,观察组黑影发生率为7.14%,低于对照组27.50%(P<0.05)。术后1个月,观察组无黑影症状患者(0/40),对照组黑影发生率为7.50%(3/40)(P>0.05)。结论张力线法可缩短手术时间和减少激光用量,术后短时间内黑影症状少。Objective To explore the clinical value of tension line posterior capsulotomy for intraocular lens posterior capsular opacification. Methods 70 patients with posterior capsular opacification after intraocular lens implantation were selected. In the observation group, 35 cases（42 eyes） were treated with tension line posterior capsulotomy, and 35 cases in thecontrol group（40 eyes） were treated with cross incision. Results The operation time in the observation group was shorter than that in the control group. The single incision energy and total energy were less than those in the control group, and the number of points was less than that in the control group（P〈0.05）. 7 d after operation, the incidence of dark shadows in the observation group was 7.14%, which was lower than that in the control group of 27.50%（P〈0.05）. 1 month after operation, there was no black shadow in the observation group（0/40）. The incidence of dark shadows in the control group was 7.50%（3/40）（P〈0.05）. Conclusion Tension line method can shorten operation time and reduce laser dosage, and there is less black shadow after a short time.

关 键 词：张力线法 十字切开法 后囊膜切开术 晶状体后囊膜混浊 晶状体植入术 激光 

分 类 号：R771[医药卫生—眼科]