双手微小切口冷超声乳化与小切口非超声乳化手法娩核治疗白内障的疗效比较  

Comparison of bimanual microphacoemulsification and manual nucleus division through small incision for treating cataract

作　　者：孙刚 娜仁 刘玲 佟艳秋 

机构地区：[1]内蒙古林业总医院眼科

出　　处：《国际眼科杂志》2009年第9期1679-1681,共3页International Eye Science

摘　　要：目的:对双手微小切口冷超声乳化与小切口手法娩核治疗白内障疗效进行对比分析。方法:随机选用双手微小切口冷超声乳化病例204例,及小切口手法娩核病例174例进行统计分析。结果:手术后视力以≥0.46的病例数进行比较,手法娩核组占76.9%,有显著差异(P<0.05);术后角膜散光两组比较,双手微小切口冷超声乳化组平均为-1.5±0.5,小切口非超声乳化手法娩核组平均为-3.0±0.5,两者差异具有统计学意义。结论:双手微小切口超声乳化白内障吸除术可安全、有效地通过<1.4mm的切口吸除白内障,较小切口非超声乳化手法娩核术恢复快、散光少,视力提高快。AIM：To compare the effect of phacoemulsification and manual nucleus division through small incision in the treatment of cataract.·METHODS：Two hundred and four cases of phacoemul-sification and 174 cases of manual nucleus division of small incision were randomly selected and analyzed. ·RESULTS：Number of cases whose vision was bigger or equal to 0.46 after operation was compared. Number of manual nucleus division group accounted for 76.9% and there was statistically significant between the two groups（P〈0.05） ;mean cornea astigmatism after operation was-1.5±0.5 in phacoemulsification group,and-3.0±0.5 in manual nucleus division through small incision group.There was statistically significant difference of astigmatism between the two groups after operation. ·CONCLUSION：Bimanual microphacoemulsification is a feasible,secure and effective surgery for cataract extraction through a sub-1.4mm clear cornea incision,but manual nucleus division through small incision seems to be of fast recovery,few astigmatism and fast elevation of vision.

关 键 词：白内障 超声乳化 手法 娩核 

分 类 号：R779.66[医药卫生—眼科]