小切口囊外摘除术治疗老年性白内障的效果分析(1)
[摘要]目的 探讨老年性白内障中采用不同术式治疗的临床效果。方法 选取2015年4月～2017年4月我院收治的80例老年性白内障患者(核分级3级以上)作为研究对象，采用随机数字表法将其分为两组，每组各40例。对照组患者采用超声乳化术进行治疗，观察组患者采用小切口囊外摘除术进行治疗。比较两组患者术后1周、1个月、3个月的视力恢复情况及术后并发症发生率。结果 两组患者术后1周、1个月、3个月的视力恢复情况比较，差异均无统计学意义(P>0.05)。观察组患者的术后并发症发生率为5.00%，对照组为20.00%，观察组患者的术后并发症发生率明显低于对照组，差异有统计学意义(P<0.05)。结论 在老年性白内障治疗中选用小切口囊外摘除术，临床效果理想，可有效降低术后并发症发生率，值得临床应用及推广。
[关键词]老年性白内障；小切口囊外摘除术；超声乳化术
[中图分类号] R779 [文献标识码] A [文章编号] 1674-4721(2017)12(b)-0083-03
[Abstract]Objective To investigate the clinical curative effect of different surgical procedures on senile cataract.Methods 80 cases of senile cataract patients (grade 3 and above) who treated from April 2015 to April 2017 were selected as subjects and were divided into two groups according to random number table method，40 cases in each group.The patients in the control group were treated with phacoemulsification.The patients in the observation group were treated with small incision extracapsular surgery.After treatment intervention，the visual acuity of 1 week，1 month and 3 months after surgery and the incidence of postoperative complications of the two groups were compared.Results There was no statistically significant difference between the two groups of 1 week，1 month and 3 months after surgery (P>0.05).The incidence of postoperative complications was 5.00% in the observation group and 20.00% in the control group，the incidence of postoperative complications in the observation group was significantly lower than that in the control group，and the difference was statistically significant (P<0.05).Conclusion In the treatment of senile cataract with small incision extracapsular surgery，the clinical effect is satisfactory，which can effectively reduce the incidence of postoperative complications and is worthy of clinical promotion.
[Key words]Senile cataract；Small incision extracapsular surgery；Phacoemulsification
老年性白内障即年龄相关性白内障，是指人体随着年龄的增长而导致眼球发生晶体状浑浊，使患者出现模糊或近视等表现的一种疾病[1]。据相关资料[2-3]指出，老年性白内障随着年龄的不断增加，其患病率也在明显增高，而该病的诱发因素与环境、营养、代谢及遗传等多种因素均有密切关系。一般来说，白内障的发生大多是由于多种因素综合形成的，如：放射和自由基损伤、营养物质或化学物质缺失、抗生素使用、葡糖糖及半乳糖等代谢障碍等均会导致白内障出现。此外，衰老及遗传基因也是重要的因素之一。超声乳化术和小切口囊外摘除术都是治疗白内障的手术方式，虽然治疗效果大致相同，但是引发的术后并发症却会在一定程度上影響治疗效果及患者的身体状态。因此在治疗过程中，基于老年人身体机能及身体能力均有所减退的原因，必须选择合适的治疗手段，在尽可能保证治疗质量的同时，避免对患者的视力造成损伤[4]。本研究选取我院收治的80例老年性白内障患者作为研究对象，进一步研究老年性白内障治疗中不同术式的临床疗效，现报道如下。
1资料与方法
1.1一般资料
选取2015年4月～2017年4月我院收治的80例老年性白内障患者(核分级3级以上)作为研究对象，采用随机数字表法将其分为两组，每组各40例。观察组患者男25例，女15例；年龄60～78岁，平均(69.4±1.5)岁。对照组患者男24例，女16例；年龄61～78岁，平均(69.2±1.4)岁。两组一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究经我院医学伦理委员会审核及同意，患者均知晓本研究情况并签署知情同意书。, 百拇医药(王子传 董晓明 李财保)
[关键词]老年性白内障；小切口囊外摘除术；超声乳化术
[中图分类号] R779 [文献标识码] A [文章编号] 1674-4721(2017)12(b)-0083-03
[Abstract]Objective To investigate the clinical curative effect of different surgical procedures on senile cataract.Methods 80 cases of senile cataract patients (grade 3 and above) who treated from April 2015 to April 2017 were selected as subjects and were divided into two groups according to random number table method，40 cases in each group.The patients in the control group were treated with phacoemulsification.The patients in the observation group were treated with small incision extracapsular surgery.After treatment intervention，the visual acuity of 1 week，1 month and 3 months after surgery and the incidence of postoperative complications of the two groups were compared.Results There was no statistically significant difference between the two groups of 1 week，1 month and 3 months after surgery (P>0.05).The incidence of postoperative complications was 5.00% in the observation group and 20.00% in the control group，the incidence of postoperative complications in the observation group was significantly lower than that in the control group，and the difference was statistically significant (P<0.05).Conclusion In the treatment of senile cataract with small incision extracapsular surgery，the clinical effect is satisfactory，which can effectively reduce the incidence of postoperative complications and is worthy of clinical promotion.
[Key words]Senile cataract；Small incision extracapsular surgery；Phacoemulsification
老年性白内障即年龄相关性白内障，是指人体随着年龄的增长而导致眼球发生晶体状浑浊，使患者出现模糊或近视等表现的一种疾病[1]。据相关资料[2-3]指出，老年性白内障随着年龄的不断增加，其患病率也在明显增高，而该病的诱发因素与环境、营养、代谢及遗传等多种因素均有密切关系。一般来说，白内障的发生大多是由于多种因素综合形成的，如：放射和自由基损伤、营养物质或化学物质缺失、抗生素使用、葡糖糖及半乳糖等代谢障碍等均会导致白内障出现。此外，衰老及遗传基因也是重要的因素之一。超声乳化术和小切口囊外摘除术都是治疗白内障的手术方式，虽然治疗效果大致相同，但是引发的术后并发症却会在一定程度上影響治疗效果及患者的身体状态。因此在治疗过程中，基于老年人身体机能及身体能力均有所减退的原因，必须选择合适的治疗手段，在尽可能保证治疗质量的同时，避免对患者的视力造成损伤[4]。本研究选取我院收治的80例老年性白内障患者作为研究对象，进一步研究老年性白内障治疗中不同术式的临床疗效，现报道如下。
1资料与方法
1.1一般资料
选取2015年4月～2017年4月我院收治的80例老年性白内障患者(核分级3级以上)作为研究对象，采用随机数字表法将其分为两组，每组各40例。观察组患者男25例，女15例；年龄60～78岁，平均(69.4±1.5)岁。对照组患者男24例，女16例；年龄61～78岁，平均(69.2±1.4)岁。两组一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究经我院医学伦理委员会审核及同意，患者均知晓本研究情况并签署知情同意书。, 百拇医药(王子传 董晓明 李财保)