2.2mm同轴微切口白内障超声乳化术治疗白内障患者的疗效分析  

Efficacy of 2.2mm Micro-incision Coaxial Phacoemulsification for Cataract Patients

作　　者：谢海娟[1] 谢桂军[1] 张淼[1] 

机构地区：[1]宝鸡市人民医院眼科,陕西宝鸡721000

出　　处：《医学综述》2016年第22期4503-4505,4509,共4页Medical Recapitulate

摘　　要：分析2.2 mm同轴微切口白内障超声乳化术治疗白内障患者的疗效。方法选择2014年6月至2015年6月宝鸡市人民医院收治的白内障手术患者128例,按照随机数字表法分为观察组和对照组,各64例。观察组采取2.2 mm同轴微切口白内障超声乳化术,对照组采取常规3.2 mm标准切口同轴白内障超声乳化术。观察比较1周后两组患者术后视力和角膜散光改善情况,角膜内皮个数及患者满意度和并发症情况。结果术后1周,观察组总有效率高于对照组[98.4%(63/64)比85.9%(55/64)],差异有统计学意义(P<0.05)。治疗后,观察组视力高于对照组(0.68±0.12比0.52±0.11),角膜散光低于对照组[(0.69±0.11)°比(1.12±0.13)°],角膜内皮个数高于对照组[(2679±68)个比(2425±72)个],差异有统计学意义(P<0.01)。观察组总并发症发生率低于对照组[21.9%(14/64)比93.8%(60/64)],满意度高于对照组[95.3%(61/64)%比84.4%(54/64)],差异有统计学意义(P<0.05)。结论 2.2 mm同轴微切口白内障超声乳化术在白内障治疗中,能够有效地改善患者视力和角膜散光,减少并发症的发生,缩短患者康复时间,其治疗效果优于常规的3.2 mm标准切口同轴白内障超声乳化术,是治疗白内障比较理想的术式。Objective To analyze the efficacy of 2. 2 mm micro-incision coaxial phacoemulsification surgery for cataract patients. Methods Total of 128 cataract patients admitted to Baoji People＇ s Hospital from Jun. 2014 to Jun. 2015 for surgery were divided into an observation group and a control group according to the random number table method,64 cases each. The observation group was treated with 2. 2 mm coaxial micro-incision phacoemulsification,while the control group received conventional standard 3. 2 mm incision coaxial phacoemulsification. The improvement of visual acuity and corneal astigmatism,corneal endothelial cell number,and patient satisfaction and complications situation of the two groups after one week were observed and compared. Results One week after surgery,total effective rate in the observation group was higher than the control group[98. 4%（ 63 /64） vs 85. 9%（ 55 /64）,P〈0. 05]. After treatment,visual acuity of the observation group was significantly higher than the control group（ 0. 68 ± 0. 12 vs 0. 52 ± 0. 11）,corneal astigmatism was significantly lower than the control group[（ 0. 69 ± 0. 11） ° vs（ 1. 12 ± 0. 13） ° ],the number of corneal endothelial cells was obviously higher than the control group [（ 2679 ± 68） number vs（ 2425 ±72） number],the difference was statistically significant（ P〈0. 01）. Total complication rate of the observation group was significantly lower than the control group[21. 9%（ 14 /64） vs 93. 8%（ 60 /64],and the satisfaction rate was higher than the control group[95. 3%（ 61 /64） vs 84. 4%（ 54 /64） ],with statistically significant difference（ P〈0. 05）. Conclusion 2. 2 mm micro-incision coaxial phacoemulsification cataract therapy can effectively improve visual acuity and corneal astigmatism,reduce the chance of complications,shorten recovery time of the patients,and the treatment effect is obviously superior to the conventional standard 3. 2 mm incision coaxial phacoemulsification,thus is a more ideal surgery of cat

关 键 词：白内障超声乳化术 微切口 同轴 

分 类 号：R779.66[医药卫生—眼科]