摘要
目的分析硬核白内障临床接受小切口非超声乳化治疗的疗效。方法选择2015年1月—2019年10月该院73例硬核白内障患者为对象,按照随机数字表法分为两组。对照组36例患者接受小切口超声乳化白内障手术治疗,观察组37例患者接受小切口非超声乳化白内障手术治疗,比较两组效果。结果观察组患者术后1周角膜水肿发生率为13.51%,低于对照组33.33%,差异有统计学意义(χ2=4.012,P<0.05);观察组术后1个月以及3个月的角膜散光度分别为(1.21±0.23)、(0.84±0.17),低于对照组(1.59±0.27)、(1.29±0.23),差异有统计学意义(t=6.479、9.524,P<0.05);观察组术后并发症发生率为5.41%,低于对照组22.22%,差异有统计学意义(χ2=4.365,P<0.05)。结论小切口非超声乳化治疗硬核白内障能够更明显改善患者角膜水肿以及角膜散光情况,另外可减少并发症。
Objective To analyze the clinical efficacy of small incision non-phacoemulsification treatment for hard nuclear cataract.Methods From January 2015 to October 2019,73 patients with hard nuclear cataract in the hospital were selected as subjects.They were divided into 2 groups according to the random number table.36 patients in the control group received small incision phacoemulsification cataract surgery,and the observation group of 37 cases underwent small incision non-phacoemulsification cataract surgery,and the effects of the two groups were compared.Results The incidence of corneal edema in the observation group at 1 week after surgery was 13.51%,which was lower than 33.33%in the control group,the difference was statistically significant(χ2=4.012,P<0.05);the corneal astigmatism of the observation group at 1 month and 3 months after surgery were respectively(1.21±0.23),(0.84±0.17),lower than the control group(1.59±0.27),(1.29±0.23),the difference was statistically significant(t=6.479,9.524,P<0.05);the postoperative complication rate in the observation group was 5.41%,lower than the control group 22.22%,the difference was statistically significant(χ2=4.365,P<0.05).Conclusion The small incision non-phacoemulsification treatment of hard nuclear cataract can more significantly improve the corneal edema and corneal astigmatism,and reduce complications.
作者
万臻
WAN Zhen(Department of Ophthalmology,Jurong City Hospital of Traditional Chinese Medicine,Jurong,Jiangsu Province,212400 China)
出处
《世界复合医学》
2020年第10期86-88,共3页
World Journal of Complex Medicine
关键词
硬核白内障
小切口
非超声乳化
治疗
疗效
Hard nuclear cataract
Small incision
Non-phacoemulsification
Treatment
Curative effect
