摘要
目的比较超声乳化白内障手术与小切口非超声乳化白内障囊外摘除术（ECCG）对老年性白内障患者的治疗效果。方法将2016年5月-2017年1月来我院治疗的126（155眼）例Ⅱ~Ⅴ级核的单纯老年性白内障患者随机分成观察组和对照组,每组63例。观察组采用超声乳化白内障手术,对照组采用小切口ECCG,对比分析两种方法术后患者视力、散光度数及并发症情况。结果两组术后视力均较术前有显著改善,差异有统计学意义（P〈0.05）,观察组术后7 d的视力改善显著高于对照组,差异有统计学意义（P〈0.05）,术后90 d,观察组和对照组的视力比较差异无统计学意义（P〉0.05）。两组术后7 d及30 d的散光度数与术前存在显著差异,差异有统计学意义（P〈0.05）,且术后7 d观察组的散光度数低于对照组,差异有统计学意义（P〈0.05）,术后30、90 d两组散光度数比较,差异无统计学意义（P〉0.05）。两组术后并发症差异无统计学意义（P〉0.05）。结论小切口ECCG与超声乳化白内障手术对老年性白内障患者的长期治疗效果相当;但超声乳化白内障手术短期疗效更优,小切口ECCG具有手术费用低,所需设备简单便宜等特点,对于基层缺少超声乳化设备医院,具有推广价值。
Objective To compare the therapeutic effects of phacoemulsification and small incision non phacoemulsification extracapsular cataract extraction（ECCE） in elderly cataract patients. Methods In our hospital from May 2016 to January 2017,126 cases（155 eyes） Ⅱ-Ⅴ nucleus of senile cataract patients were randomly divided into observation group and control group, 63 cases in each group. The observation group was treated with phacoemulsification cataract surgery,the control groupwas treated with mall incision non phacoemulsification extracapsular cataract extraction,comparative analysis of the postoperative visual acuity,astigmatism and complications in the two group were compared.Results Patients of two groups with postoperative visual acuity improved significantly compared with before operation, the difference was statistically significant（P〈0.05）,the patients in the observation group 7 d after operation was improved in visua acuity and was significantly higher than the control group,the difference was statistically significant（P〈0.05）, 90 d after operation,there was no significant observation group and the control group the visual acuity difference（P〈0.05）.Astigmatism of the two groups 7,30 d after surgery was significant difference compared with before surgery, the difference was statistically significant（P〈0.05）,and astigmatism of the observation group 7 d after operation was lower than the control group, the difference was statistically significant（P〈0.05）,after 30 d,90 d astigmatism of two groups had no statistically significant difference（P 0.05）.Conclusion Non phacoemulsification small incision extracapsular cataract extraction and phacoemulsification with the same long-term curative effect in the treatment of senile cataract patients;but phacoemulsification with better short-term curative effect,small incision non phacoemulsification extracapsular cataract extraction with low operation cost,the required equipment is simple and cheap characteristics,has the value of popularization for the hosipital that lack of ultrasonic emulsification equipment.
出处
《中国当代医药》
2017年第26期99-101,共3页
China Modern Medicine
关键词
超声乳化白内障手术
小切口非超声乳化白内障囊外摘除术
老年
白内障
Phacoemulsification cataract surgery
Non phacoemulsification extracapsular cataract extraction with small incision
Elderly people
Cataract
