摘要
目的通过比较非超声乳化小切口晶状体囊外摘除术和超声乳化吸除术术中、术后并发症，探讨更适合高龄硬核性白内障患者的手术方法。方法随机抽取67例（67眼）硬核性白内障患者，其中采用非超声乳化小切口手术31例（A组），超声乳化吸除术36例（B组），对比观察两组术中、术后并发症（以角膜反应为主），手术前后角膜内皮细胞密度和平均内皮细胞面积。结果两组术中并发症比较差异无统计学意义（P〉0．05），但术后角膜水肿的发生和持续时间、内皮细胞密度以及平均内皮细胞面积两组比较差异有统计学意义（P〈0．05）。结论高龄硬核性白内障采取两种手术方式都是安全有效的，但非超声乳化小切口术后角膜反应轻，更有利于视力的快速恢复。
Objective To observe whether the non-phacoemulsification or phacoemulsification is more suitable for hard nuclear cataract extraction by comparing comphcations during surgical procedures and postoperafion. Methods Sixty-seven cases （67 eyes）with hard nuclear cataract randomly selected was divided into two groups. Group A included 31 eyes that had undergone non-phacoemulsification cataract extraction, group B included 36 eyes that had undergone phacoemulsification. The complications during surgical procedures and postoperation, cornea endothelial cell density and average endothehal cell area before and after the surgery were compared between the two groups. Results There was no significant difference between the two groups in comphcations during surgical procedures （P 〉 0.05）, there were significant difference in the occurrence and persistence time of corneal edema, endothelial cell density and average endothehal cell area between the two groups （P 〈 0.05）. Conclusion Both non-phacoemulsification and phacoemulsification are safe and effective for hard nulear cataract extraction in elder,cornea complications are less after non-phaco than phaco and is better for recovery of eyesight.
出处
《中国医师进修杂志》
2007年第10期22-23,26,共3页
Chinese Journal of Postgraduates of Medicine
