尖峰撕囊碎核镊辅助预劈核技术改良小切口白内障手术治疗老年性白内障的临床观察  

Clinical observation on treating technique senile cataract by pre splitting nucleus by using spike broken nucleus forceps in modified small incision cataract surgery

作　　者：邓建华[1] 祁勇军[1] 叶湘湘[1] 许懋[1] 

机构地区：[1]广东省中医院珠海医院,广东珠海519015

出　　处：《中医临床研究》2017年第27期111-113,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨尖峰撕囊碎核镊辅助预劈核技术改良小切口白内障手术治疗老年性白内障的临床疗效,为白内障复明工程提供更佳的术式选择。方法:选取2015年3月-2017年3月在我院眼科住院部确诊为白内障且具有明确手术摘除指征的患者100例、100眼,随机分成对照组与观察组各50例、50眼,其中对照组采用传统小切口非超声乳化白内障摘除术,观察组采用尖峰撕囊碎核镊辅助预劈核技术改良小切口非超声乳化白内障摘除术。术后对比两组患者并发症发生率、术后视力、角膜内皮细胞数量、切口愈合时间。结果:观察组术后并发症发生率明显低于对照组(P<0.05)。两组术后视力均较术前提高,差异具有统计学意义(P<0.05);术后1 d,观察组视力较对照组明显提高,差异具有统计学意义(P<0.05);术后7 d,观察组与对照组视力对比,差异无统计学意义(P>0.05)。两组术后7 d角膜内皮细胞数量均较术前下降,差异具有统计学意义(P<0.05);术后7 d,对照组各级别晶状体核硬度角膜内皮细胞数量较观察组明显下降,差异具有统计学意义(P<0.05)。观察组术后切口愈合时间明显短于对照组,差异具有统计学意义(P<0.05)。结论:与传统小切口非超声乳化白内障手术对比,尖峰撕囊碎核镊辅助预劈核技术改良小切口白内障手术治疗老年性白内障疗效显著,伤口愈合时间短,术后并发症发生率低,操作简单,手术器械投入少,在我国复明工程中可推广使用。Objective： To study the clinical efficacy of technique of pre splitting nucleus by using spike broken nucleus forceps in modified small incision cataract surgery on senile cataract, and to provide better surgery choice for cataract extraction project. Methods： From March 2015 to March 2017, 100 eyes of 100 patients with cataract and ready for cataract extraction in our In-Patient Department were selected and randomly divided into two groups, with 50 eyes and 50 patients in each group. The control group received traditional therapy of SICS, while the observation group received therapy technique ofpre splitting nucleus by using spike broken nucleus forceps in modified small incision cataract surgery. Complication rate, postoperative vision, quantity of corneal endothelial cells and incision healing time was compared. Results： The incidence of postoperative complications in the observation group was significantly lower than that in the control group （P〈0.05）. The postoperative visual acuity in the two groups was higher than that before operation, and the difference was statistically significant （P〈0.05）; After 1D, the visual acuity in the observation group was significantly higher than the control group, the difference was statistically significant （P〈0.05）; after 7d, the visual acuity in the observation group and the control group was not statistically significant （P〉0.05）. After 7d, the number of lens nucleus hardness and the number of corneal endothelial cells in the control group were significantly lower than those in the observation group, the difference was statistically significant （P〈0.05）. In the observation group, postoperative wound healing time was significantly shorter than the control group, the difference was statistically significant （P〈0.05）. Conclusion： Compared with traditional SICS, technique of pre splitting nucleus by using spike broken nucleus forceps in modified small incision cataract surgery had significant efficacy in treating senile cataract. Wi

关 键 词：尖峰撕囊碎核镊 预劈核技术 传统小切口非超声乳化白内障手术 

分 类 号：R587.2[医药卫生—内分泌]