小切口非超声乳化白内障摘除术中应用隧道切口内掰核技术的疗效分析  

Comparison of application of breaking nuclear from tunnel incision and nucleus delivery from enlarging incision in combination therapy of mini-incision non-phacoemulsification cataract extraction and intraocular lens implantation

作　　者：张琳[1] 关照[1] 刘新[1] 

机构地区：[1]福州市第二医院眼科,福建福州350007

出　　处：《海南医学院学报》2011年第10期1374-1376,1379,共4页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020110376)~~

摘　　要：目的:对比非超声乳化白内障摘除术中隧道切口内掰核技术和扩大切口娩核的效果。方法:对我院2006年4月～2010年12月192眼患者小切口非超声乳化白内障摘除联合人工晶体植入术中,105眼采用隧道切口内掰核技术,87眼采用扩大切口娩核。结果:术后1d、3d、1个月两组角膜内皮水肿与视力比较差异无统计学意义(P>0.05);术后3d、1月,两组散光比较差异有统计学意义(P<0.05),扩大切口组散光大于隧道切口内掰核组。结论:小切口非超声乳化白内障摘除联合人工晶体植入术中应用隧道娩核切口内掰核技术,手术安全、损伤轻、并发症少、术后效果好、视力恢复快,是一种较好的手术方式。Objective： To compare effect of breaking nuclear from tunnel incision and nucleus delivery from enlarging incision in combination therapy of mini-incision non-phacoemulsification cataract extraction and intraocular lens implantation.Methods： A total of 192 cases admitted from April 2006 to December 2010,who had combination therapy of mini-incision non-phacoemulsification cataract extraction and intraocular lens implantation were selected,including 105 eyes with breaking nuclear from tunnel incision and 87 eyes with nucleus delivery from enlarging incision.Results： There was no significant difference in edema of corneal endothelium and visual acuity 1 d,3 d and 1 month after surgery（P0.05）,but patients with enlarged incision had significant higher level of astigmatism（P0.05）.Conclusions： Breaking nuclear from tunnel incision is safe,of little injury and complication.It is effective and can promote visual acuity recovery.

关 键 词：隧道切口内掰核 扩大切口娩核 小切口非超声乳化白内障摘除术 人工晶体植入术 

分 类 号：R77[医药卫生—眼科]