玻璃体切割、白内障摘除联合与分期手术对角膜内皮的影响.pdfVIP

山东医药2010年第50卷第6期 玻璃体切割、白内障摘除联合与分期手术 对角膜 内皮的影响 邹媛媛，汪建涛，李筱荣，胡博杰 (天津医科大学，天津 300070) 摘要：目的 比较玻璃体切割、白内障摘除联合和分期手术对角膜内皮的影响。方法 32例 (32眼)患者，16 例(16ItI~)行玻璃体切割联合自内障摘除术(联合手术组)，16例 (16眼)行分期手术 (分期手术组)。检测两组患 者手术前后的角膜内皮细胞密度和六角形细胞。结果 两组患者角膜内皮细胞密度手术前后及术后组间比较P 均0．05：两组患者角膜内皮六角形细胞比例手术前后相比P均0．05，术后组问比较P0．05。结论 联合和分 期手术都会导致角膜内皮细胞的减少，改变角膜内皮细胞形态。联合与分期手术对角膜内皮的影响无明显差异。 关键词：玻璃体切割术；超声乳化 自内障摘除术；角膜内皮 中图分类号：1t779．6 文献标志码：A 文章编号：1002-266X(2010)06-0023--02 Effectsoncornealendothelium betweenvitrectomycombinedandstagedphacoemulsification ZOUYuany·uan，WANGJian—tao，LIXiao—rong，HUBo-fie (TianjinMedicalUnive~iq，Tianfin30070，P．R．China) Abstract：Objective Toeomp~etheeffectsoncomealendotheliumbetweencombinedandstagedsurgeryinpatients withretinopathyandcataract．Methods Theclinicaldataof32patients(32eyes)wereanalyzed．Thepatientsweredi— videdintocombinedsurgerygroupandstagedsurgery group．Th evitrectomycomb inedwithphaeoemulsificationandIOL implantation，wasunderdonein16patients(16eyes)ofcombinedsurgerygroup．Thevitrectomywasunderdonein16pa— tients(16eyes)ofstagedsurgerygroup，whenphacoemulsfiieationandIOLimplnatationwouldbedoneatdifferenttime． TheCOlTlealendothelium ceilsdensitiesandratiosofhexagonal cellswereobservedrespectively．Results Th erewereno significnatdifferencesbetweenpre·andpost—operativecornealendotheliumdensityinbothofgroupsfP0．05)，andalso therewerenosignificantdffierencesbetweenbothofgroupsaftersurgery (P0．05)．Thereweresignifleantdifferences betweenpre·andpost—operativeratiosofhexagonalcellsinbothofgroups(P0．05)，nadtherewerenosignificantdiffer— encesbetweenbothofrgoupsaftersurgery (P0．05)．Conclusion Bothofcombinedandstagedsurgery canleadtothe decreasingofendothelial cellsandcorneal endothelium morphological change．Thereisnosignfiicnatdifferencesinthe e~ctsoncorneal endothelium betweencombinedandstagedsurgery inpatientswithretinopathynadcataract． Keywords：vitrectom