切口囊外白内障摘除术和超声乳化白内障摘除术应用效果对照研究  

Comparative Study of Extracapsular Cataract Extraction With Phacoemulsification and Phacoemulsification

作　　者：张爽[1] 高玉敬[1] 洪云[1] 

机构地区：[1]河北省廊坊市人民医院眼科,河北廊坊065000

出　　处：《中国继续医学教育》2017年第18期132-133,共2页China Continuing Medical Education

基　　金：河北省廊坊市支撑计划项目(名称:白内障SICS术;PHACO术后视神经纤维层;黄斑区厚度及并发症对比的临床研究编号:2013013122)

摘　　要：目的分析现代小切口囊外白内障摘除术和超声乳化白内障摘除术应用效果对照。方法将2013年1月—2016年1月200例白内障患者作为研究对象并抽签分组,分为小切口组和超乳组,两组分别为100例。小切口组采用现代小切口囊外白内障摘除术,超乳组采用超声乳化白内障摘除术。结果小切口组治疗总有效率高于超乳组,小切口组为95.00%,超乳组为96.00%,P>0.05;两组患者术后1天的角膜中央厚度均有增厚,超乳组增厚明显,与小切口组对比,差异有统计学意义,P<0.05。结论现代小切口囊外白内障摘除术应用效果和超声乳化白内障摘除术相似,均可改善视力,但对于硬核白内障,现代小切口囊外摘除手术更具优势,对角膜厚度、视神经纤维层的影响更小。Objective To analyze the effect of extracapsular cataract extraction and phacoemulsification with small incision. Methods From January 2013 to January 2016, 200 cases of cataract patients were divided into small incision group and phacoemulsification group. There were 100 cases in two groups. The small incision group was treated with extracapsular cataract extraction with small incision, and phacoemulsification group was treated with phacoemulsification in the phacoemulsification group. Results The total effective rate of the small incision group was higher than that of the phacoemulsification group, the small incision group was 95%, the phacoemulsification group was 96%, and the P〉0.05; The corneal central thickness of the two groups was thickened 1 day after operation, and the thickening of the breast milk group was obvious. Compared with the small incision group, the difference was statistically significant, P〈0.05. Conclusion The modern small incision extracapsular cataract extraction and application effect of phacoemulsification cataract surgery can improve visual acuity, but similar to hard nuclear cataract, small incision extracapsular extraction surgery has more advantages on corneal nerve fiber layer thickness, the smaller.

关 键 词：现代小切口囊外 超声乳化 白内障摘除术 

分 类 号：R776[医药卫生—眼科]