摘要
目的比较白内障超声乳化术与小切口白内障囊外摘除术对白内障合并高度近视患者的临床疗效。方法选取接受手术治疗的100例白内障合并高度近视患者作为研究对象,随机分为研究组(采用小切口白内障囊外摘除术治疗)和对照组(采用白内障超声乳化术治疗),每组50例。比较2组的临床疗效和角膜内皮细胞变化情况。结果研究组术后角膜水肿发生率为14.00%,低于对照组的32.00%,差异有统计学意义(P <0.05)。术后,2组视力均高于术前,差异有统计学意义(P <0.05);手术前后2组视力比较,差异均无统计学意义(P> 0.05)。治疗后,2组瞳孔区六角形细胞比率和角膜内皮细胞密度均低于治疗前,差异有统计学意义(P <0.05);治疗前后,2组间瞳孔区六角形细胞比率和角膜内皮细胞密度比较,差异均无统计学意义(P> 0.05)。结论白内障超声乳化术与小切口白内障囊外摘除术均是临床治疗白内障合并高度近视的有效术式,可显著改善患者视力,但后者可降低术后角膜水肿发生率,安全性更高。
Objective To compare clinical effect of phacoemulsification and extracapsular cataract extraction with small incision in patients with cataract and high myopia.Methods A total of 100 patients with cataract and high myopia who underwent surgeries were selected,and were randomly divided into study group(extracapsular cataract extraction with small incision)and control group(phacoemulsification),with 50 cases in each group.The clinical effects and changes of corneal endothelial cells were compared between the two groups.Results The incidence of corneal edema in the study group was 14.00%,which was significantly lower than 32.00%in the control group(P<0.05).The visual acuity after operation was significantly higher than that before operation(P<0.05),but there was no between-group significant difference before and after operation(P>0.05).The ratios of hexagonal cells in pupillary zone and corneal endothelial cell density in the pupil area after treatment were significantly lower in the two groups than those before treatment(P<0.05),but there were no between-group significant differences before and after treatment(P>0.05).Conclusion Phacoemulsification and extracapsular cataract extraction with small incisionare are both effective clinical procedures in the treatment of cataract and high myopia,they can significantly improve the visual acuity of patients,but the latter procedure can reduce the incidence of postoperative corneal edema,and has higher safety.
作者
杨慧平
韩登雷
YANG Huiping;HAN Denglei(Department of Ophthalmology,Fugu County Traditional Chinese Medicine Hospital in Shaanxi Province,Fugu,Shaanxi,719400;Department of Ophthalmology,Affiliated Hospital of Yan′an University,Yan′an,Shaanxi,716000)
出处
《实用临床医药杂志》
CAS
2020年第22期80-83,共4页
Journal of Clinical Medicine in Practice
基金
陕西省卫生计生科研基金项目(2016D098)。
关键词
小切口白内障囊外摘除
白内障超声乳化术
高度近视
白内障
角膜内皮细胞
extracapsular cataract extraction with small incision
phacoemulsification
high myopia
cataract
corneal endothelial cells
