小切口非超声乳化术和超声乳化术治疗白内障的临床疗效观察(1)
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[摘要] 目的：探讨小切口无缝线非超声乳化白内障囊外摘除人工晶状体植入术的临床疗效。方法：回顾性分析笔者所在医院2008年1月～2010年12月收治的160例(160只眼)患者，分别行小切口无缝线非超声乳化白内障囊外摘除人工晶状体植入术与白内障超声乳化吸除人工晶状体植入术的临床资料，并对术后视力、术中、术后并发症进行比较。结果：小切口无缝线非超声乳化白内障囊外摘除人工晶状体植入术与白内障超声乳化吸除人工晶状体植入术的术后效果无明显差异，但对过熟期白内障及硬核性白内障更安全，更经济实用。结论：小切口无缝线非超声乳化白内障囊外摘除人工晶状体植入术与白内障超声乳化吸除人工晶状体植入术疗效相似，差异无统计学意义(P>0.05)，前者简便、易行、经济，适宜于基层医院开展。
[关键词] 白内障；小切口非超声乳化术；超声乳化术
[中图分类号] R779.66[文献标识码]B [文章编号]1673-7210(2011)07(b)-227-02
Comparative study of the clinical treatment of cataract-centrol between small incision non-phacoemulsification and phacoemulsification
DAI Zixian, ZHANG Hong, LIN Miaoying, LIANG Xiaoyun
Bao'an District People's Hospital of Shenzhen City in Guangdong Province,Shenzhen 518101,China
[Abstract] Objective: To investigate the clinical effect of small incision cataract surgery and phacoemulsification. Methods: Retrospective analysis of our hospital in January 2008 to December 2010 admitted 160 patients(160 eyes)patients,respectively,sutureless small incision phacoemulsification cataract extraction and intraocular lens implantation in cataract phacoemulsification. The clinical data of intraocular lens implantation and visual acuity,postoperative complications were compared. Rusults: Small incision non-phacoemulsification and phacoemulsification had no significant differences in effect,but more safely,economicai and practical for the well-off period of cataract and cataract hard core. Conclusion: The curative effect between the two kinds of operation mentioned above are almost the same and have no markable difference(P>0.05).The former is simple and convenient in operation and economical which is suitable for the basic hospitals.
[Key words] Cataract;Small incision non-phacoemulsification;Phacoemulsification
随着社会人口老龄化的进程，白内障患者逐年增多，我国白内障患者占各地盲人总数的39%~75%，白内障盲的积存量为400余万人。目前白内障复明的唯一有效的方法是手术治疗白内障。近年来，随着医疗技术的不断发展，白内障现代囊外摘除人工晶状体植入术的普及和显微技术得到了明显的提高，患者临床治疗效果也不断提高，多能在减少并发症的前提下获得较佳视力。这些年发展较快的两种白内障显微手术方法是白内障囊外摘除术(extracapsular cataract extraction，ECCE)+人工晶体置入(implant intraocular lens implant，IOL)及超声乳化(phacoemulsifieation，phaco)+IOL[1-2]。本研究收集笔者所在医院2008年1月～2010年12月收治的160例(160只眼)患者的临床资料 ......
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