糖尿病性白内障患者两种手术方法疗效和并发症的比较  

Comparison of Effect and Complications in Diabetic Cataract by Two Different Operative Methods

作　　者：黄涵[1] 

机构地区：[1]广东省惠州市中心人民医院眼科,广东惠州516001

出　　处：《中国现代医生》2007年第12S期40-41,共2页China Modern Doctor

摘　　要：目的比较白内障超声乳化吸出术与现代囊外摘除术联合人工晶体植入的手术效果和并发症的发生情况。方法79例(105眼)糖尿病性白内障患者,分别行PHACO(PHACO组)和ECCE(ECCE组)联合人工晶体植入。观察两组的手术效果及并发症发生情况。结果PHACO组术后视力明显优于ECCE组;术中PHACO组虹膜损伤和后囊破裂的发生率分别为9.7%(4眼)和2.4%(1眼),显著低于ECCE组的26.3%(10眼)和15.7%(6眼);术后PHACO组瞳孔区纤维素样渗出、人工晶体表面色素沉着、虹膜粘连及黄斑囊样水肿发生率均显著低于ECCE组;术后半年70眼复查角膜曲率,PHACO组散光<1.50D的患者占77.1%(27/35),ECCE组占25.7%(9/35),PHACO组散光程度显著低于ECCE组(χ2=13.76,P<0.05)。结论糖尿病性白内障患者行PHACO比ECCE的视力恢复好、散光小,术后并发症少、安全性高。Objective To compare the curative effect and postoperative complications in diabetic cataract patients by phacoemulsification （PHACO） and extra-capsular cataract extraction（ECCE）. Methods 79 cases（ 105 eyes） of diabetic cataract were extracted with ECCE or PHACO group. The effects of operations and postoperative complications were analyzed. Results The vision of postoperative in PHACO group was better than ECCE group,with significant statistical difference; During PHACO group iris injury and the posterior capsule rupture incidence of 9.7%（4 eyes） and 2.4%（ 1 eye）, significantly lower than ECCE group 26.3%（ 10 eyes） and 15.7%（6 eyes）; The pupil cellulose exudates, artificial crystal surface pigmentation,iris adhesion and cystoid macular edema were significantly lower than ECCE group After operation; 70 cases of corneal curvature,PHACO group astigmatism 〈 1.50D for 77.1% （27/35）ECCE group for 25.7% （9/35）,PHACO group astigmatism level significantly lower than ECCE（ χ^2= 13.76,P〈 0.05） after six months. Conclusion The PHACO group is better than ECCE group in treatment of diabetic cataract with good tolerance, safety and less complications.

关 键 词：糖尿病性白内障 超声乳化吸出术 囊外摘除术 人工晶体 

分 类 号：R587.2[医药卫生—内分泌]