摘要
目的分析超声乳化术与小切口囊外摘除术治疗白内障的效果差异。方法回顾性分析商丘市眼科医院2018年1月至2022年12月接受治疗的白内障患者189人(189眼)的数据实施。依据患者所接受的手术方法差异实施分组,分为A组(接受超声乳化手术,n=93)以及B组(接受小切口囊外摘除手术,n=96)。均选择术前(T_(1))、术后7 d(T_(2))、术后1个月(T_(3))、术后3个月(T_(4))共4个时间点的数据实施分析,对比两组患者治疗效果。对比两组患者不同时间点的视力情况、角膜内皮细胞数量、黄斑区厚度以及T_(4)时两组患者的黄斑水肿发生率,不同时间点手术源性角膜散光值,两组患者术后3个月内的并发症情况。结果T_(1)、T_(3)、T_(4)时间点,两组患者的裸眼视力、最佳矫正视力数据差异无统计学意义(P>0.05),T_(2)时间点,小切口囊外摘除手术组的裸眼视力、最佳矫正视力水平均优于于超声乳化术组,差异有统计学意义(P<0.05)。T_(1)时间点,两组患者的角膜内皮细胞数量数据差异无统计学意义(P>0.05),在T_(2)、T_(3)、T_(4)时间点,B组的角膜内皮细胞数量均高于A组,差异有统计学意义(P<0.05)。T_(1)、T_(4)时间点,两组患者的黄斑区厚度和T_(4)时两组患者的黄斑水肿发生率的数据差异无统计学意义(P>0.05),在T_(2)、T_(3)时间点,B组的黄斑区厚度均低于A组,差异有统计学意义(P<0.05)。两组患者不同时间点的手术源性角膜散光值数据差异无统计学意义(P>0.05)。B组术后3个月的并发症发生率低于A组,差异有统计学意义(P<0.05)。结论针对白内障的患者,超声乳化术和小切口囊外摘除术均为有效的手术方法,两种方法相比,小切口囊外摘除术更利于患者术后短期的恢复以及围手术期并发症的降低。
Objective To analyze the effect of phacoemulsification and small incision extracapsular extraction on cataract.Methods The data of 189 cataract patients(189 eyes)who received treatment in Shangqiu Eye Hospital from January 2018 to December 2022 were retrospectively analyzed.Patients were divided into group A(phacoemulsification surgery,n=93)and group B(extracapsular resection with small incision,n=96)according to the difference in surgical methods.The data of preoperative(T_(1)),7d postoperative(T_(2)),1 month postoperative(T_(3)),and 3 months postoperative(T_(4))were selected to be analysed,and the treatment effects of the two groups of patients were compared.The visual acuity at different time points,the number of corneal endothelial cells,the thickness of macular area,the incidence of macular edema at T_(4) and the value of surgical corneal astigmatism were compared between the two groups at different time points.The complications within 3 months after operation were compared between the two groups.Results At T_(1),T_(3) and T_(4) time points,there were no statistical significances in the data of naked eye visual acuity and best corrected visual acuity between 2 groups(P>0.05).At T_(2) time point,the level of naked eye visual acuity and best corrected visual acuity in group B were better than those in group A,with significant differences(P<0.05).At T_(1) time,there was no significant difference in the number of corneal endothelial cells between the two groups(P>0.05).At T_(2),T_(3) and T_(4) time points,the number of corneal endothelial cells in group B was higher than that in group A,with significant differences(P<0.05).At T_(1) and T_(4) time points,there were no statistical differences in the macular area thickness between the two groups and the incidence of macular edema at T_(4) between the two groups(P>0.05).At T_(2) and T_(3) time points,the macular area thickness in group B were lower than those in group A,with significant differences(P<0.05).There were no significant differences in surgical corneal astigmatism between 2 groups at different time points(P>0.05).The incidence of complications 3 months after operation in group B was lower than that in group A,with significant difference(P<0.05).Conclusion Both phacoemulsification and small incision extracapsular extraction are effective surgical methods for cataract patients.Compared between the two methods,small incision extracapsular extraction is more beneficial to the short-term postoperative recovery and the reduction of perioperative complications.
作者
李华萍
LI Huaping(Department of Ophthalmology,Shangqiu Eye Hospital,Henan Province,Shangqiu Henan 476005,China)
出处
《临床研究》
2024年第1期53-56,共4页
Clinical Research
关键词
超声乳化
小切口囊外摘除
白内障
晶状体
矫正视力
ultrasonic emulsification
extracapsular extraction with small incision
cataracts
the lens
corrected vision
