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目的探讨治疗外伤性白内障手术方式的选择及临床疗效。方法回顾性分析我院2010年10月至2011年3月的共诊断收治的外伤性白内障患者200例,按伤后施行手术时间迟早分2组,各100例,手术在Zeiss手术显微镜下进行,根据晶体囊破损与核软硬程度,运用超声乳化吸出或挽核技术。根据外伤性白内障及其他组织外伤的不同情况,分别采取伤口修复、眼前段结构重建、前路晶状体玻璃体切除、眼内异物摘出联合白内障摘出及人工晶状体植入术,术后观察并发症及出院时视力。结果观察组术后矫正视力≥0.4～0.5者占56%,对照组占38%,明显低于观察组,2组相比较,差异有统计学意义(P<0.05)。结论外伤性白内障虽病情复杂,并发症多,但正确的选择手术时机、合理地选择手术方式及积极预防和治疗术中、术后并发症,能够达到满意效果。
Objective To explore the surgical treatment of traumatic cataract options and clinical efficacy. Methods A retrospective analysis of 200 cases of traumatic cataract treated in our hospital from October 2010 to March 2011 were retrospectively analyzed. The operation time after injury was divided into two groups (100 cases in each group), and the operation was performed under a Zeiss operating microscope. According to the damage of the capsule and the hardness of the nucleus, the use of phacoemulsification or pull-core technology. According to different traumatic cataract and other tissue trauma, wound repair, anterior segment reconstruction, anterior vitreous body resection, extraction of intraocular foreign body combined with cataract extraction and intraocular lens implantation were performed. Postoperative complication and discharge were observed vision. Results The postoperative corrected visual acuity ≥0.4 ~ 0.5 accounted for 56% in the observation group and 38% in the control group, which was significantly lower than that in the observation group and the two groups (P <0.05). Conclusions Although traumatic cataract is complicated and has many complications, the correct choice of timing of operation, reasonable choice of surgical methods and active prevention and treatment of intraoperative and postoperative complications can achieve satisfactory results.