两种手术方式对核Ⅲ级以上白内障疗效的研究  

Study of two surgical methods for the cataract of the gradeⅢnuclear and above

作　　者：冀海轮[1] 肖伟[1] 

机构地区：[1]中国医科大学附属盛京医院眼科,中国辽宁省沈阳市110004

出　　处：《国际眼科杂志》2013年第7期1373-1375,共3页International Eye Science

摘　　要：目的:研究带有Ⅲ级以上硬核的复杂性白内障,两种手术方式的治疗效果。方法:回顾性分析52眼带有Ⅲ级以上硬核的复杂性白内障患者,采取晶状体超声粉碎技术(A组)以及小切口白内障囊外摘除(B组)不同术式的治疗效果。结果:A组术后最佳矫正视力的提高优于B组,差异有统计学意义(P<0.05);两种手术方式对中央角膜厚度的影响,差异无统计学意义(P>0.05);A组手术中对角膜内皮的影响多于B组,差异有统计学意义(P<0.05);A组手术并发症的发生低于B组,差异有统计学意义(P<0.05)。结论:对于治疗带有Ⅲ级以上硬核的复杂性白内障,超声粉碎晶状体技术可以考虑应用。AIM： To study thetherapeutic effect of two surgical methods for the cataract of the gradeⅢ nuclear and above. METHODS.Totally 52. eyes were performed retrospective analysis with phacofragmentation technique （group A） and extracapsular extraction surgery for cataract with small incision （group B） differently, and the effects of surgical treatment were compared. RESULTS： Postoperative best corrected visual acuity （BCVA） of group A lens was better improved than group B, the difference was statistically significant （P〈0.05）; the difference of corneal thickness was not statistically significant （P〉 0.05） ; the effect of group A on corneal endothelium was larger than group B, the difference was statistically significant （P 〈 0. 05 ）; the surgical complications of group A were lower than group B, the difference was statistically significant （P 〈0.05）. CONCLUSION ： The technology of sonicating lens can be considered for the cataract of the grade Ⅲnuclear and above.

关 键 词：晶状体超声粉碎技术 小切口囊外摘除术 复杂性白内障 

分 类 号：R779.66[医药卫生—眼科]