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目的 :探讨白内障超声乳化吸出术中后囊破裂的原因及有效的预防方法。方法 :对手术先期 82例 (10 0只眼 )术中后囊破裂的情况进行分析。结果 :10 0只眼中后囊破裂 11只眼 (11% )并发玻璃体外溢 5只眼 (5 % )。后囊破裂的发生率明显高于囊外手术。结论 :后囊破裂的主要原因是手术操作失误 ,加强术者的规范培训 ,提高术者的手术技巧 ,选择合适的病例可以预防后囊破裂的发生。
Objective: To investigate the causes of posterior capsular rupture and its effective prevention in phacoemulsification cataract surgery. Methods: The operation of early postoperative 82 cases (100 eyes) intraoperative posterior capsule rupture were analyzed. Results: In 10 of 10 eyes, 11 eyes (11%) had posterior capsule rupture and 5 patients (5%) had vitreous effusion. Posterior capsule rupture was significantly higher than the incidence of extracapsular surgery. Conclusion: The main reason of rupture of posterior capsule is the mistakes of operation, enhance the standard training of surgeon, improve the operation skill of surgeon, and select the appropriate case to prevent the occurrence of rupture of posterior capsule.