青海地区白内障手术不同术式的疗效观察  

The therapeutic effects of different operative methods of cataract surgery in Qinghai

作　　者：邢凯[1] 刘彦江[2] 亢泽峰[2] 刘健[2] 陶方方[2] 高娜[1] 侯静梅[1] 褚文丽 

机构地区：[1]青海大学,西宁810000 [2]中国中医科学院眼科医院,北京100040

出　　处：《临床眼科杂志》2015年第3期248-250,共3页Journal of Clinical Ophthalmology

摘　　要：目的对比超声乳化白内障摘除术与小切口非超声乳化囊外摘除术治疗青海地区白内障的临床疗效。方法收集2013年10月份青海省残疾人康复中心完成的扶贫白内障手术患者作为研究对象,根据术式,我们将738例(756只眼)白内障患者分为小切口非超声乳化白内障摘除术治疗组(A组)和超声乳化白内障摘除术治疗组(B组)。对比分析两组患眼的近期疗效和并发症。结果术后2、5、10 d,两组患眼视力相比,差异无统计学意义(P>0.05)。A组患眼手术过程中纤维素性渗出膜、虹膜后粘连、后囊混浊、晶状体表面色素沉积等并发症的发生率是B组的0.86倍。两组患者术后第l天角膜水肿情况相比,差异无统计学意义(P>0.05)。结论青海地区白内障患者行超声乳化术和小切口白内障摘出术对视力改善无显著影响,但超声乳化吸出术治疗白内障的近期疗效较好。Objective Comparing the therapeutic effects of phacoemulsification and non-phacoemulsification with small incision to treat cataract in Qinghai. Methods A total of 738 patients （756 eyes）were enrolled from Qinghai disa-bled rehabilitation center since October 2013 for this study. Patients were divided into two groups. Group A received non-phacoemulsification with small incision and group B received phacoemulsification. Results （1）There was no difference in visual acuity between two groups at 2 days,5 days and 10 days after surgery. （2）Relative risk of complications,inclu-ding fibrinous exudate membrane,iris adhesion,posterior capsular opacity,and pigment deposition on the lens surface, was 0. 86 for group A versus group B. （3）There was no difference in corneal edema between the two groups. Conclusion There is no significant difference in visual acuity improvement between the two groups,although phacoemulsification has better outcomes in short term. Therefore,the non-phacoemulsification with small incision is recommended in Qinghai.

关 键 词：青海地区 白内障 疗效 

分 类 号：R779.66[医药卫生—眼科]