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Objective To investigate the factors,prevention and treatment of posterior capsular rupture in the phacoemulsification of cataracts.

目的 分析白内障超声乳化手术中后囊破裂的各种因素,探讨其预防及处理。

Objective To discuss the causes and management of posterior capsular rupture during cataract extraction.

目的 探讨白内障摘除术中晶状体后囊膜破裂的原因和处理方法。

Objective To discuss the causes and management of posterior capsular rupture during cataract extraction.

目的探讨白内障摘除术中晶状体后囊膜破裂的原因和处理方法。

To analyze the incidence and related factors of posterior capsular rupture in phacoemulsification.

本文对白内障超声乳化手术中后囊破裂的发生及有关因素进行了分析。

Results There was no capsular membrane rupture combined with vitreous prolapse.

结果 无1例发生后囊膜破裂和玻璃体脱出。

Posterior capsular rupture can happen at any step of the extraction procedure, and its prevention can not be overemphasized.

晶状体后囊膜破裂可以出现在白内障摘除术中的每一步骤。

The most common reasons for reoperations include cosmetic concerns, capsular contracture, and rupture.

最常见的原因包括美容手术的关切,包膜挛缩、破裂

The major complications were corneal edema and posterior capsular rupture.

手术主要并发症有角膜水肿和后囊破裂

Results Capsulectomy and phacoemulsification had been finished in all the 227 eyes.

结果 全部227眼均顺利完成撕囊及超声乳化吸出术后囊破裂者6眼(2.64%)。

Every complication has its pathologic and clinical characteristics.Conclusion Many measures are important for reducing complications including strict surgical manipulation, proper selection of good implants, preferred submuscular insertion, whole capsulectomy for prosthesis rupture or leak and through hemostasis, proper bandage, massage and follow-up et al.

严格执行无菌操作、熟练掌握该术技能、选择优质假体、首选胸大肌下置入、对假体破裂或渗漏而再次手术者须尽量完全切除包膜并彻底止血、术后正确包扎按摩以及术后重视随访监测等综合措施,是避免和减少隆乳术后并发症的关键。

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