摘要
目的:比较小切口白内障囊外摘除术与超声乳化术治疗硬核白内障患者的效果。方法:回顾性分析2022年10月至2023年10月该院收治的90例硬核白内障患者的临床资料,按照手术方式不同将其分为对照组和观察组各45例。对照组采用超声乳化术治疗,观察组采用小切口白内障囊外摘除术治疗。比较两组手术前后泪膜功能[泪膜破裂时间(BUT)、泪液分泌试验(STT)]、角膜功能[角膜厚度、角膜荧光染色(FL)评分]、视力水平及并发症发生率。结果:术后3 d,两组BUT、STT值及角膜厚度均小于术前,但观察组大于对照组,两组FL评分均高于术前,但观察组低于对照组,差异有统计学意义(P<0.05);术后3个月,两组患眼视力水平均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为8.89%(4/45),低于对照组的35.56%(16/45),差异有统计学意义(P<0.05)。结论:小切口白内障囊外摘除术治疗硬核白内障患者效果良好,可提高患者视力水平,减少对泪膜、角膜功能的损伤,降低术后并发症发生率,效果和安全性优于超声乳化术。
Objective:To compare effects of small incision extracapsular cataract extraction and phacoemulsification in treatment of patients with hard nuclear cataract.Methods:The clinical data of 90 patients with hard nucleus cataract admitted to this hospital from October 2022 to October 2023 were retrospectively analyzed.According to different surgical methods,they were divided into control group and observation group,45 cases in each group.The control group was treated with phacoemulsification,while the observation group was treated with small incision extracapsular cataract extraction.The tear film function[tear film break-up time(BUT),tear secretion test(STT)],the corneal injury[corneal thickness,corneal fluorescence staining(FL)score],the visual acuity,and the incidence of complications were compared between the two groups.Results:Three days after the surgery,the BUT,STT values and the corneal thickness of the two groups were lower than those before the surgery,but those of the observation group were larger than those of the control group;the FL scores of the two groups were higher than those before the surgery,but that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).Three months after the surgery,the visual acuity levels of the two groups were higher than those before the surgery,that of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of postoperative complications in the observation group was 8.89%(4/45),which was lower than 35.56%(16/45)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Small incision extracapsular cataract extraction is effective in the treatment of the patients with hard nuclear cataract.It can improve the visual acuity,reduce the impact on tear film and corneal function,and reduce the incidence of postoperative complications.Moreover,the effect and the safety are better than ultrasonic emulsification.
作者
陶平
TAO Ping(Department of Ophthalmology of Songzi Aier Eye Hospital,Jingshan 434200 Hubei,China)
出处
《中国民康医学》
2024年第2期153-155,共3页
Medical Journal of Chinese People’s Health
关键词
小切口
白内障囊外摘除术
超声乳化术
硬核白内障
泪膜功能
角膜功能
Small incision
Extracapsular cataract extraction
Phacoemulsification
Hard nucleus cataract
Tear film function
Corneal function
