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目的探讨超声乳化白内障摘除联合人工晶状体植入(超声乳化术)对糖尿病(DM)并老年性白内障患者后囊混浊(PCO)的影响。方法将140例行超声乳化术患者分为两组,A组72例为DM并老年性白内障患者,B组68例为单纯老年性白内障患者。术后随访3~36个月,比较两组PCO发生率、Nd:YAG激光后囊切开率及PCO程度。结果 A组、B组术后PCO发生率分别为48.8%、26.8%,Nd:YAG激光后囊切开率分别为23.8%、12.2%(P均<0.05);两组PCO程度比较有统计学差异(P<0.01)。结论 DM是影响老年性白内障患者术后PCO的重要因素之一。
Objective To investigate the effect of phacoemulsification combined with intraocular lens implantation (phacoemulsification) on posterior capsule opacification (PCO) in diabetic (DM) patients with senile cataract. Methods 140 patients undergoing phacoemulsification were divided into two groups, 72 patients in group A were DM and senile cataract patients, and 68 patients in group B were senile cataract patients. The patients were followed up for 3 to 36 months. The incidence of PCO, the rate of posterior capsule dilation and the degree of PCO were compared between the two groups. Results The incidence of postoperative PCO in group A and group B were 48.8% and 26.8%, respectively. The posterior capsular incision rates of Nd: YAG laser were 23.8% and 12.2%, respectively (all P <0.05) Difference (P <0.01). Conclusion DM is one of the important factors that affect the postoperative PCO in senile cataract patients.