[1]徐晓玮,田爱军,郝微,等.不同手术入路的微创玻璃体切割系统对先天性白内障患儿术后并发症的影响[J].眼科新进展,2020,40(1):062-65.[doi:10.13389/j.cnki.rao.2020.0015]
 XU Xiaowei,TIAN Aijun,HAO Wei,et al.Effects of different surgical approaches of minimally invasive vitrectomy on complications after congenital cataract surgery[J].Recent Advances in Ophthalmology,2020,40(1):062-65.[doi:10.13389/j.cnki.rao.2020.0015]
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不同手术入路的微创玻璃体切割系统对先天性白内障患儿术后并发症的影响/HTML
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
40卷
期数:
2020年1期
页码:
062-65
栏目:
应用研究
出版日期:
2020-01-05

文章信息/Info

Title:
Effects of different surgical approaches of minimally invasive vitrectomy on complications after congenital cataract surgery
文章编号:
20200115
作者:
徐晓玮田爱军郝微陈红
054001 河北省邢台市,河北省眼科医院白内障科
Author(s):
XU XiaoweiTIAN AijunHAO WeiCHEN Hong
Department of Cataract,Hebei Ophthalmological Hospital,Xingtai 054001,Hebei Province,China
关键词:
微创玻璃体切割系统手术入路先天性白内障
Keywords:
minimally invasive vitrectomy systemsurgical approachcongenital cataract
分类号:
R776
DOI:
10.13389/j.cnki.rao.2020.0015
文献标志码:
A
摘要:
目的 比较不同手术入路的微创玻璃体切割系统(25G或23G)对先天性白内障患儿术后并发症的影响。方法 选取2010年1月至2014年12月在河北省眼科医院就诊且应用微创玻璃体切割系统行晶状体摘出联合一期或二期人工晶状体植入术后至少随访1 a的先天性白内障患儿316例(492眼)为研究对象,患儿随机选择手术入路:经角巩膜缘切口的前部入路(简称前路)与经睫状体扁平部切口的后部入路(简称后路)。记录不同手术入路患儿术后3 个月、6个月、1 a的眼轴长度、角膜曲率及并发症等情况,使用Logistic回归分析不同因素对术后并发症发生率的影响。结果 经前路手术(242眼)和后路手术(250眼)患儿术后3个月、6个月、1 a眼轴长度均长于术前,角膜曲率均低于术前,差异均有统计学意义(均为P<0.05),但前路手术与后路手术患儿间相同时间点眼轴长度及角膜曲率相比差异均无统计学意义(均为P>0.05)。前路手术术后并发症发生率(21.9%)高于后路手术(17.6%),但差异无统计学意义(P=0.32);≤1岁手术者术后并发症发生率(21.9%)高于>1岁手术者(18.8%),但差异无统计学意义(P=0.51)。Logistic回归分析结果显示,发病眼数、术前合并斜视均不影响术后并发症的发生率(P=0.312、0.224),而首次手术年龄≤1 岁和前路手术是术后并发症发生的危险因素(P=0.008、0.042)。结论 首次手术年龄≤1岁和前路手术是先天性白内障患儿术后并发症发生的危险因素;不同手术入路间的并发症类型及发生率差异均无统计学意义。
Abstract:
Objective To compare the effects among different surgical approaches of minimally invasive vitrectomy system (25G or 23G) on the complications after congenital cataract surgery.Methods The study included 316 children (492 eyes) who were diagnosed with congenital cataract,underwent lens extraction combined with primary or secondary IOL implantation by minimally invasive vitrectomy system in Hebei Eye Hospital from January 1,2010 to December 31,2014,and followed up for 1 year.All patients randomly received anterior approach through corneaoscleral incision or posterior approach through pars plana incision,to observe axial length,corneal curvature and complications at 3 months,6 months and 1 year after surgery.Logistic regression was used to analyze the influence of different factors on the incidence of complications after surgery.Results The axial lengths at 3 months,6 months and 1 year after surgery(242 eyes receiving anterior surgery and 250 eyes receiving posterior surgery) were higher than that before surgery and corneal curvature at 3 months,6 months and 1 year after surgery were lower than that before surgery,and there were significant differences (all P<0.05).No statistical difference was found in axial lengths or corneal curvature at the same time points between the two groups (all P>0.05);the incidence of complications after anterior surgery was higher than that after posterior surgery (21.9%,17.6%),but there was no significant difference (P=0.32);the incidence of complications after surgery for patients ≤1 year old (21.9%) was higher than those >1 year old (18.8%) after surgery,but there was no difference between the two groups (P=0.51).Logistic regression analysis showed that the number of affected eyes and combined strabismus before surgery did not affect the incidence of complications after surgery (P=0.312,0.224),while the age ≤1 year old at the first surgery and anterior surgery were risk factors for complications after surgery (P=0.008,0.042).Conclusion Age ≤1 year old at the first surgery and anterior surgery are risk factors for complications after surgery of congenital cataract.There is no difference in types and incidence of complications between different surgical approaches.

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备注/Memo

备注/Memo:
N/A
更新日期/Last Update: 2020-01-05