目的：分析前入路玻璃体切割联合超声乳化及人工晶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（n=45，实施传统术式）和研究组（n=47，实施前入路玻璃体切割联合超声乳化及人工晶体悬吊术）。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个月内视功能与生存质量问卷（VF-QOL）评分。结果：组间、组内在BCVA、眼压上的主效应均有统计学差异（P＜0.05），其中BCVA存在交互效应（P＜0.05），眼压不存在交互效应（P＞0.05）。两组术后BCVA、眼压均较术前降低（P＜0.05），其中研究组术后1个月、3个月及6个月BCVA、眼压均较传统组低（P＜0.05）。研究组术后并发症总发生率（4.26%比17.78%）低于传统组（P＜0.05）。研究组术后6个月VF-QOL各项评分均高于传统组（P＜0.05）。结论：对矿山井下高压水管击伤所致晶状体脱位患者实施前入路玻璃体切割联合超声乳化及人工晶体悬吊术，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。

Objective: To analyze the clinical efficacy of anterior-approach vitrectomy combined with phacoemulsification and intraocular lens suspension on lens dislocation caused by high-pressure water pipe injury in mines. 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 our hospital from April 2022 to August 2024. Complying with different surgical methods, they were classified into the traditional group (n=45, performed traditional surgery) and the study group (n=47, performed 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 months after surgery. Results: There were statistically clear differences in the main effects of BCVA and intraocular pressure between groups and within group (P<0.05), with BCVA showing an interaction effect (P<0.05) and intraocular pressure not showing an interaction effect (P>0.05). Both groups showed a decrease in postoperative BCVA and intraocular pressure compared to preoperative levels (P<0.05), with the study group showing lower BCVA and intraocular pressure at 1, 3, and 6 months postoperatively compared to the traditional group (P<0.05). The study group had lower total incidence of postoperative complications than the traditional group (4.26% vs. 17.78%) (P<0.05). The study group had higher VF-QOL scores at 6 months postoperatively than the traditional group (P<0.05). 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.