微小切口晶状体超声乳化吸出术应用价值  

The study of bimanual micro-phacoemulsification.

作　　者：张广斌[1] 陈伟[2] 毛祖红[2] 

机构地区：[1]温州医学院眼视光医院,浙江温州325000 [2]厦门眼科中心,福建厦门361000

出　　处：《眼外伤职业眼病杂志》2006年第11期817-819,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨双手微小切口晶状体超声乳化吸出术的应用值。方法对行双手微小切口晶状体超声乳化吸出术A组。观察术中乳化时间、术后视力、手术性角膜散光及角膜内皮数量。并与常规超声乳化手术组(B组)进行统计学分析比较。结果A组术中平均超声乳化时间为(1.0±0.53)min;B组术中平均超声乳化时间为(0.75±0.56)min,差异无统计学意义(P>0.05)。在术后1天:A组裸眼视力≥0.5者占90.36%;B组裸眼视力≥0.5者占80.90%。术后1天A组平均手术性角膜散光:(0.15±0.56)D,术前、后角膜散光变化差异无统计学意义(P>0.05):B组为:(1.20±0.96)0,手术前、后角膜散光变化差异有统计学意义(P<0.05)。A组术后角膜内皮计数:平均(2198±210)个/mm2;B组术后角膜内皮计数平均(1800±240)个/mm2。结论双手微小切口冷超声乳化吸出术具有良好的临床应用价值。Objective To study the value and outcome of bimanual micro phacoemulsification in cataract patients. Methods The bimanual phacoemulsification was performed on group A and compared with Co-axial phacoemulsification of group B. The study parameters included the time of phacoemulsification, the postoperative visual acuities, the surgically induced astigmatism, and the corneal endothelial density. Results The phacoemulsification time of group A was （1.0 ±0. 53 ）mm; group B was （0.75 ± 0. 56）min, there was no statistically significant difference in phacoemulsification time ; The postoperative visual acuities in group A, 0.5 or better was 90.36%, However,group B was 80.90% . Compared with the surgically induced astigmatism of the first postoperative day, group A was （0.15± 0.56）D, and group B was （ 1.20±0. 96 ） D, there was statistically significant difference between them;The corneal endothelial density of post- operative in group A was （2198 ± 210）/mm^2, on the other hand group B was （ 1800 ±240）/mm^2. Conclusions Bimanual phacoemulsification is a feasible , and effective surgery of cataract.

关 键 词：微小切口 超声乳化 白内障 晶状体 

分 类 号：R779.66[医药卫生—眼科]