小切口白内障囊外摘除联合人工晶体植入术治疗老年性白内障的临床研究(1)
[摘要] 目的 探讨小切口白内障囊外摘除联合人工晶体植入术治疗老年性白内障的临床疗效。方法 将整群选取的该院2012年9月—2014年7月收治的180例老年性白内障患者随机分为两组，每组90例，观察组采取小切口白内障囊外摘除联合人工晶体植入术治疗，对照组采取传统白内障囊外摘除联合人工晶体植入术治疗，比较两组患者的手术疗效及并发症发生情况。结果 两组患者术后1月患者的视力较术前均有明显改善，差异有统计学意义(P<0.01)，但两组间比较，差异无统计学意义(P>0.05)；观察组并发症发生率为2.22%，低于对照组，差异有统计学意义(P<0.01)。结论 小切口白内障囊外摘除联合人工晶体植入术治疗老年性白内障疗效确切，且并发症少，值得临床推广应用。
[关键词] 小切口；囊外摘除；人工晶体植入；老年性白内障
[中图分类号] R59 [文献标识码] A [文章编号] 1674-0742(2015)08(c)-0010-03
Clinical Study of Small Incision Extracapsular Cataract Extraction and Intraocular Lens Implantation Surgery in the Treatment of Cataract in the Elderly
HU Ming-xiang， SHEN Yong， WANG Jun
Department of Ophthalmology， Guangyuan Central Hospital， Guangyuan， Sichuan Province， 628000 China
[Abstract] Objective To evaluate the clinical efficacy of small incision extracapsular cataract extraction and intraocular lens implantation surgery in the treatment of cataract in the elderly. Methods 180 elderly patients with cataract admitted in our hospital from September 2012 to July 2014 were randomly divided into two groups with 90 patients in each. The observation group were treated by small incision extracapsular cataract extraction and intraocular lens implantation， and the control group were treated by traditional extracapsular cataract extraction and intraocular lens implantation. And the surgical efficacy and incidence of complications of the two groups were compared. Results One month after the surgery， the visual acuity was significantly improved in both groups compared with before surgery(P<0.01)， but there was no statistically significant difference in that between the two groups(P>0.05). The incidence of complications of the observation group was 2.22%， significantly lower than that of the control group(P<0.01). Conclusion For elderly patients with cataract， small incision extracapsular cataract extraction combined with intraocular lens implantation has exact effect with fewer complications， so it is worthy of clinical promotion and application.
[Key words] Small incision； Extracapsular cataract extraction； Intraocular lens implantation； Cataract in the elderly
白内障为眼科主要致盲疾病之一，是由于营养代谢障碍、外伤、中毒、辐射、机体免疫及代谢功能异常等原因导致的晶状体代谢紊乱，进而引发晶状体蛋白质变性、混浊[1]。超声乳化吸除术是目前白内障治疗的首选方法，尽管其具有切口小、散光小、反应轻、恢复快等优点，但也存在热损伤、角膜内皮损伤、后囊膜破损等一系列并发症，且该术式对器械设备要求高，操作难度高[2]，不适合在基层医院或偏远地区推广使用。小切口白内障囊外摘除联合人工晶体植入术因其具有操作简单、费用低、疗效佳等优点，且与传统白内障囊外摘除术相比，创伤小、术后恢复快、并发症少，适合在基层防盲工作中开展[3-4]。该研究对该院2012年9月—2014年7月收治的老年性白内障患者分别采取小切口白内障囊外摘除联合人工晶体植入术与传统白内障囊外摘除联合人工晶体植入术治疗，旨在探讨小切口白内障囊外摘除术的优势，现报道如下。, 百拇医药(胡明祥 沈勇 王军)
[关键词] 小切口；囊外摘除；人工晶体植入；老年性白内障
[中图分类号] R59 [文献标识码] A [文章编号] 1674-0742(2015)08(c)-0010-03
Clinical Study of Small Incision Extracapsular Cataract Extraction and Intraocular Lens Implantation Surgery in the Treatment of Cataract in the Elderly
HU Ming-xiang， SHEN Yong， WANG Jun
Department of Ophthalmology， Guangyuan Central Hospital， Guangyuan， Sichuan Province， 628000 China
[Abstract] Objective To evaluate the clinical efficacy of small incision extracapsular cataract extraction and intraocular lens implantation surgery in the treatment of cataract in the elderly. Methods 180 elderly patients with cataract admitted in our hospital from September 2012 to July 2014 were randomly divided into two groups with 90 patients in each. The observation group were treated by small incision extracapsular cataract extraction and intraocular lens implantation， and the control group were treated by traditional extracapsular cataract extraction and intraocular lens implantation. And the surgical efficacy and incidence of complications of the two groups were compared. Results One month after the surgery， the visual acuity was significantly improved in both groups compared with before surgery(P<0.01)， but there was no statistically significant difference in that between the two groups(P>0.05). The incidence of complications of the observation group was 2.22%， significantly lower than that of the control group(P<0.01). Conclusion For elderly patients with cataract， small incision extracapsular cataract extraction combined with intraocular lens implantation has exact effect with fewer complications， so it is worthy of clinical promotion and application.
[Key words] Small incision； Extracapsular cataract extraction； Intraocular lens implantation； Cataract in the elderly
白内障为眼科主要致盲疾病之一，是由于营养代谢障碍、外伤、中毒、辐射、机体免疫及代谢功能异常等原因导致的晶状体代谢紊乱，进而引发晶状体蛋白质变性、混浊[1]。超声乳化吸除术是目前白内障治疗的首选方法，尽管其具有切口小、散光小、反应轻、恢复快等优点，但也存在热损伤、角膜内皮损伤、后囊膜破损等一系列并发症，且该术式对器械设备要求高，操作难度高[2]，不适合在基层医院或偏远地区推广使用。小切口白内障囊外摘除联合人工晶体植入术因其具有操作简单、费用低、疗效佳等优点，且与传统白内障囊外摘除术相比，创伤小、术后恢复快、并发症少，适合在基层防盲工作中开展[3-4]。该研究对该院2012年9月—2014年7月收治的老年性白内障患者分别采取小切口白内障囊外摘除联合人工晶体植入术与传统白内障囊外摘除联合人工晶体植入术治疗，旨在探讨小切口白内障囊外摘除术的优势，现报道如下。, 百拇医药(胡明祥 沈勇 王军)
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