老年人白内障膨胀期囊外摘除术和超声乳化术疗效比较  

Comparative Study of Clinical Effects between Extracapsular CataractExtraction and Phacoemulsification in Elderly Patients with Cataract

作　　者：宋丽莉[1] 

机构地区：[1]郑州大学附属洛阳中心医院眼科,河南洛阳471000

出　　处：《医学新知》2017年第4期370-372,共3页New Medicine

摘　　要：目的 探讨囊外摘除术和超声乳化术（PE）治疗老年人白内障膨胀期的临床疗效.方法 选取2015年11月-2016年11月于我院进行治疗的120例白内障膨胀期患者,随机分为观察组和对照组,观察组60例（60只眼）采用PE,对照组60例（60只眼）采用小切口囊外摘除术,比较两组患者的临床疗效.结果 术后两组患者视力和散光度数恢复相当（P〉0.05）.术后7 d,观察组的视力脱残率明显高于对照组（P〈0.05）,术后1个月、3个月的脱残率差异无统计学意义（P〉0.05）.观察组并发症发生率（13.33%）明显小于对照组（25.00%）（P〈0.05）.结论 PE能明显减少老年患者白内障膨胀期手术并发症,提高手术成功率.Objective To explore clinical effects of extracapsular cataract extraction（ECCE） and phacoemulsifi- cation（PE） in elderly patients with cataract. Methods 120 elderly patients with cataract treated in our hospital from Nov. 2015 to Nov. 2016 were selected. Patients were randomly divided into observation group （60 eyes）and control group（60 eyes）. The observation group adopted PE and the control group adopted mini -incision ECCE. Clinical effects were compared between the two groups. Results There was no significant difference on visual and astigmatism degree between the two groups after surgery（ P 〉 0.05 ）. The cure rate of visual acuity in observation group was signifi- cantly higher than that in control group 7 d after surgery（ P 〈 0.05 ）. There were no significant differences on cure rate of visual acuity 1 month and 3 month after surgery （ P 〉 0.05 ）. The incidence of complications in observation group （ 13.33 % ） was significantly lower than that in control group （ 25.00% ） （ P 〈 0.05 ）. Conclusion PE method can greatly reduce the incidence of complications and improve success rate of the operation.

关 键 词：超声乳化术 白内障 囊外摘除术 

分 类 号：R779.66[医药卫生—眼科]