摘要
目的探讨临床应用超声乳化白内障吸除术和囊外白内障摘除术的预后对照。方法纳入聊城市人民医院眼科2015年1月—2018年2月90例白内障患者根据手术分组。对照组开展囊外白内障摘除术,观察组开展超声乳化白内障吸除术。分析效果;手术实施的时间;施术前后患者诱发的散光度、眼压的平均水平、裸眼视力的情况、最佳矫正视力的水平;眼内炎、视网膜脱离等并发症发生率。结果观察组效果100.00%相对对照组68.89%更高,差异有统计学意义(χ~2=7.931,P<0.05)。观察组眼内炎、视网膜脱离等并发症发生率4.44%低于对照组22.22%,差异有统计学意义(χ~2=4.833,P<0.05);观察组手术实施的时间(64.02±5.01)min优于对照组(78.14±10.11)min,差异有统计学意义(t=8.286,P<0.05);施术后观察组诱发的散光度、眼压的平均水平、裸眼视力的情况、最佳矫正视力的水平(0.67±0.10)D、(10.24±1.11)mmHg、(0.54±0.16)、(0.67±0.12)优于对照组(0.86±0.11)D、(11.21±1.25)mmHg、(0.43±0.13)D、(0.58±0.11)mmHg,差异有统计学意义(t=6.822、7.142、6.062、5.813,P<0.05)。结论白内障患者行超声乳化白内障吸除术效果确切。
Objective To investigate the prognosis of clinical application of phacoemulsification and extracapsular cataract extraction.Methods 90 cases of cataract patients from the Ophthalmology Department of Liaocheng People's Hospital from January 2015 to February 2018 were grouped according to surgery.In the control group,extracapsular cataract extraction was performed,and the observation group underwent phacoemulsification.Analytical effect;time of operation;astigmatism induced by patients before and after surgery,average level of intraocular pressure,visual acuity of naked eyes,best corrected visual acuity;incidence of complications such as endophthalmitis and retinal detachment were observed.Results The effect of the observation group was 100.00%higher than that of the control group 68.89%,(χ^2=7.931,P<0.05).The incidence of complications such as endophthalmitis and retinal detachment in the observation group was 4.44%lower than that in the control group 22.22%,(χ^2=4.833,P<0.05);The operation time of the observation group was(64.02±5.01)minutes,which was better than that of the control group(78.14±10.11)minutes(t=8.286,P<0.05).The postoperative observation group induced astigmatism,the average level of intraocular pressure,the visual acuity of naked eyes,the best corrected visual acuity levels of(0.67±0.10)D,(10.24±1.11)mmHg,(0.54±0.16),(0.67±0.12)were better than the control group(0.86±0.11)D,(11.21±1.25)mmHg,(0.43±0.13),(0.58±0.11),the difference was statistically significant(t=6.822,7.142,6.062,5.813,P<0.05).Conclusion The phacoemulsification of cataract patients is effective.
作者
张婧毅
徐怡婷
ZHANG Jing-yi;XU Yi-ting(Department of Ophthalmology,Liaocheng People's Hospital,Liaocheng,Shandong Province,252000 China)
出处
《系统医学》
2019年第6期26-28,共3页
Systems Medicine
关键词
超声乳化白内障吸除术
囊外白内障摘除术
预后对照
Phacoemulsification cataract extraction
Extracapsular cataract extraction
Prognosis comparison
