超声乳化术与小切口非超声乳化术在白内障患者中的应用对比分析  

Comparative Analysis of the Application of Phacoemulsification and Small Incision Non-phacoemulsification in Cataract Patients

作　　者：陈进[1] CHEN Jin(Department of Ophthalmology,Heze Municipal Hospital,Heze,Shandong Province,274000 China)

机构地区：[1]菏泽市立医院眼科,山东菏泽274000

出　　处：《中外医疗》2021年第20期16-19,共4页China & Foreign Medical Treatment

摘　　要：目的对比超声乳化术与小切口非超声乳化术在白内障患者中的应用效果。方法研究对象均为方便选取2019年1月—2020年12月该院收治的150例白内障患者,以随机数表法划分为两组。研究组75例患者接受超声乳化术治疗,对照组75例患者接受小切口非超声乳化术治疗。比较两组术后1、7、30 d时视力≥0.5的眼数;两组术前、术后7 d、术后30 d时角膜散光、泪膜破裂时间(BUT);两组术后并发症情况。结果研究组术后1、7、30 d时视力≥0.5的眼数所占比例为61.18%、67.06%、76.47%与对照组58.14%、63.95%、72.09%比较差异无统计学意义(χ^(2)=0.164、0.182、0.429,P>0.05)。术后7 d时,研究组BUT(6.75±2.12)s较对照组(5.69±1.75)s更高,差异有统计学意义(t=3.563,P<0.05);研究组角膜散光(1.08±0.52)D与对照组(1.10±0.24)D对比差异无统计学意义(t=0.324,P>0.05)。研究组术后并发症发生率6.67%与对照组10.67%对比差异无统计学意义(χ^(2)=0.712,P>0.05)。结论超声乳化术与小切口非超声乳化术在白内障患者中的应用效果相当,临床可根据患者的经济条件与实际情况选择合适的手术方式。Objective To compare the effect of phacoemulsification and small incision non-phacoemulsification in cataract patients.Methods The study subjects were all 150 cataract patients in the hospital conveniently selected from January 2019 to December 2020,and were divided into two groups by random number table.75 patients in the study group received phacoemulsification treatment,and 75 patients in the control group received small incision non-phacoemulsification treatment.The number of eyes with visual acuity≥0.5 at 1 d,7 d,and 30 d after surgery were compared between the two groups;corneal astigmatism and tear film breakup time(BUT)were compared between the two groups before surgery,7 d after surgery,and 30 d after surgery;postoperative complications in the two groups.Results The proportion of eyes with visual acuity≥0.5 at 1 d,7 d,and 30 d in the study group was 61.18%,67.06%,76.47%and 58.14%,63.95%,72.09%of the control group had no statistically significant difference(χ^(2)=0.164,0.182,0.429,P>0.05).At 7 d postoperatively,the BUT(6.75±2.12)s of the study group was higher than that of the control group(5.69±1.75)s,the difference was statistically significant(t=3.563,P<0.05);the corneal astigmatism(1.08±0.52)D of the study group was higher than that of the control group(1.10±0.24)D.There was no statistically significant difference in contrast(t=0.324,P>0.05).The postoperative complication rate of the study group was 6.67%and the control group 10.67%had no statistically significant difference(χ^(2)=0.712,P>0.05).Conclusion The effect of phacoemulsification and small-incision non-phacoemulsification in cataract patients is equivalent,and the appropriate surgical method can be selected according to the patient's economic conditions and actual conditions.

关 键 词：超声乳化术 小切口非超声乳化术 白内障 

分 类 号：R4[医药卫生—临床医学]