常规与改良手术治疗高度近视合并白内障的临床效果比较  

Clinical comparative study of conventional and modified surgical treatment for patients with high myopia and cataract

作　　者：李趣文 牛勇毅[2] LI Quwen;NIU Yongyi(Department of ENT,Junan Hospital of Shunde Foshan,Foshan 528329,China;Department of Ophthalmology,Guangdong General Hospital,Guangzhou 510030,China)

机构地区：[1]佛山市顺德区均安医院五官科,广东佛山528329 [2]广东省人民医院眼科,广东广州510030

出　　处：《分子影像学杂志》2018年第3期395-397,共3页Journal of Molecular Imaging

摘　　要：目的比较常规法手术治疗与改良手术治疗高度近视合并白内障的临床效果。方法选择2016年1月~2017年12月我院和广东省人民医院眼科收治的90例病例(90眼),采用数字表法将患者随机分成改良组(患者接受改良术式治疗)和常规组(患者接受常规术式治疗),每组45例(45眼)。观察患者术后视力(以<0.1为计数单位)、角膜内皮细胞计数和术后并发症。结果与常规治疗组比较,改良手术组患者角膜内皮细胞恢复较快(t=2.011、2.433,P<0.05),术后并发症少(χ2=6.450,P<0.05);两组术后视力恢复差异无统计学意义(χ2=1.323、0.445,P>0.05)。结论基于本次临床治疗条件下,改良手术治疗高度近视合并白内障患者效果较好。Objective To compare the clinical effect of two types of operation in the treatment of high myopia combined with cataract. Methods 90 cases（90 eyes） admitted to our hospital from January 2016 to December 2017 were included and divided into modified group（treated with modified operation; n=45） and traditional group（treated with traditional operation; n=45）via the random number table method. Postoperative visual acuity（count in 〈0.1）, corneal endothelial cell count and postoperative complications of both groups were observed. Results Compared with traditional group, the corneal endothelial cells in patients from modified group recovered faster（t=2.011, 2.433, P〈0.05） and they underwent less postoperative complications（χ^2=6.450, P〈0.05）. No significant differences were found in postoperative visual acuity between two groups（χ^2=1.323, 0.445, P〉0.05）.Conclusion Under the condition of this clinical treatment, the modified operation is more satisfactory in treating patients with high myopia combined with cataract.

关 键 词：高度近视 白内障 改良手术 临床效果 

分 类 号：R779.6[医药卫生—眼科]