首页|分析超声乳化白内障吸除术联合IOL植入术后前房渗出发生率的相关影响因素

分析超声乳化白内障吸除术联合IOL植入术后前房渗出发生率的相关影响因素

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目的 研究分析在对白内障患者实施超声乳化白内障吸除术、人工晶状体(Intraocular Lens,IOL)植入术联合治疗后发生前房渗出的危险因素.方法 回顾性选取2020年5月—2023年5月在江苏省兴化市人民医院眼科接受超声乳化联合IOL植入术的82例白内障患者的临床资料,将术后发生前房渗出的42例患者与40例术后未发生前房渗出的患者分为研究组与对照组.在研究组与对照组患者中对其各项病历资料进行回顾性分析,分析白内障病例在联合手术后有前房渗出发生的危险因素.结果 在单因素分析中,研究组与对照组高度近视、葡萄膜炎、青光眼、术前眼压、晶状体核分级、术中晶状体后囊膜破裂、术中超声累积能量复合参数等比较差异有统计学意义(P均<0.05).经多因素分析得出,高度近视、葡萄膜炎、青光眼、术前眼压、晶状体核分级、术中晶状体后囊膜破裂、术中超声累积能量复合参数是导致白内障患者在术后并发前房渗出的危险因素(OR=4.308、4.369、4.731、4.687、4.468、4.417、4.696,P均<0.05).结论 白内障病例在接受超声乳化结合IOL植入手术后,受到高度近视、葡萄膜炎等因素的影响,易并发前房渗出.
Factors Influencing the Incidence of Anterior Chamber Exudation after Phacoemulsification Cataract Aspiration Combined with IOL Implantation
Objective To investigate the risk factors for anterior chamber exudation in cataract patients treated with phacoemulsification and Intraocular Lens(IOL)implantation.Methods The clinical data of 82 cataract patients who underwent ultrasonic emulsification combined with IOL implantation in the Department of Ophthalmology of Xinghua People's Hospital,Jiangsu Province,from May 2020 to May 2023 were retrospectively selected,Forty-two patients with postoperative anterior chamber exudation and forty patients without postoperative anterior chamber exudation were selected as study group and control group.The medical records of the study group and the control group were ret-rospectively analyzed to analyze the risk factors of anterior chamber exudation in cataract cases after combined sur-gery.Results In unifactor analysis,comparison of high myopia,uveitis,glaucoma,preoperative intraocular pressure,lens nucleus grade,intraoperative posterior lens capsule rupture,and intraoperative accumulated energy complex pa-rameters between study group and control group,and the differences were statistically significant(all P<0.05).Multi-variate analysis showed that high myopia,uveitis,glaucoma,preoperative intraocular pressure,lens nucleus grading,intraoperative posterior capsule rupture,and intraoperative accumulated energy of ultrasound were the risk factors for postoperative anterior chamber exudation in cataract patients(OR=4.308,4.369,4.731,4.687,4.468,4.417,4.696,all P<0.05).Conclusion After phacoemulsification combined with IOL implantation,cataract patients are affected by high myopia,uveitis and other factors,and are prone to anterior chamber exudation.

OphthalmologyCataractsPhacoemulsification cataract aspirationIntraocular lens implantationExudation of the anterior chamberRisk factor

陈应强

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江苏省兴化市人民医院眼科,江苏兴化 225700

眼科 白内障 超声乳化白内障吸除术 人工晶状体植入术 前房渗出 危险因素

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(5)
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