目的：分析前入路玻璃体切割联合超声乳化及人工晶状体悬吊术治疗矿山井下高压水管击伤所致晶状体脱位的临床疗效。

方法：回顾性分析2022年4月至2024年8月在平煤神马医疗集团总医院行手术治疗的92例矿山井下高压水管击伤所致晶状体脱位患者的资料，根据手术方式的不同分成传统组(45例，实施传统术式)和研究组(47例，实施前入路玻璃体切割联合超声乳化及人工晶状体悬吊术)。比较两组手术前后不同时间点最佳矫正视力(BCVA)、眼压、术后并发症发生率及术后6 mo视功能与生存质量问卷(VF-QOL)评分。

结果：传统组和研究组一般资料具有可比性。两组术后1、3、6 mo BCVA、眼压均较术前降低(均P<0.05)，其中研究组术后1、3、6 mo BCVA(LogMAR)、眼压均较传统组低(均P<0.05)。研究组术后并发症总发生率低于传统组(8% vs 26%，P<0.05)。研究组术后6 mo VF-QOL各项评分均高于传统组(均P<0.01)。

结论：前入路玻璃体切割联合超声乳化及人工晶状体悬吊术治疗矿山井下高压水管击伤所致晶状体脱位，可有效降低眼压，明显改善视力及生存质量，且术后并发症较少。

METHODS:A retrospective analysis was conducted on the data of 92 patients with lens dislocation caused by high-pressure water pipe injury in mines who underwent surgical treatment in Pingmei Shenma Medical Group General Hospital from April 2022 to August 2024. Complying with different surgical methods, they were classified into the traditional group(n=45, traditional surgery)and the study group(n=47, anterior-approach vitrectomy combined with phacoemulsification and intraocular lens suspension). Two groups were compared in terms of best corrected visual acuity(BCVA)and intraocular pressure at different time points before and after surgery, incidence of postoperative complications, and the visual function and quality of life questionnaire(VF-QOL)scores within 6 mo after surgery.

RESULTS:There was comparability between the general information of the traditional group and the study group. Both groups showed a decrease in BCVA and intraocular pressure at 1, 3, and 6 mo postoperatively compared to preoperative levels(all P<0.05). Among them, the study group had lower BCVA(LogMAR)and intraocular pressure at 1, 3, and 6 mo postoperatively compared to the traditional group(all P<0.05). The study group had lower total incidence of postoperative complications than the traditional group(8% vs 26%, P<0.05). The study group had higher VF-QOL scores at 6 mo postoperatively than the traditional group(all P<0.01).

CONCLUSION:Anterior-approach vitrectomy combined with phacoemulsification and intraocular lens suspension can effectively reduce intraocular pressure, clearly improve visual acuity and quality of life in patients with lens dislocation caused by high-pressure water pipe injury in mines, and have fewer postoperative complications.