小切口囊外摘除术与超声乳化术治疗老年膨胀期白内障的临床对比研究  

Clinical Comparison between Extracapsular Excision of Small Incision and Phacoemulsification for Senile Expansive Cataract

作　　者：蒋晶 JIANG Jing(Department of Ophthalmology,Liaoning Mental Health Center Kaiyuan 112300,China)

机构地区：[1]辽宁省精神卫生中心眼科,辽宁开原112300

出　　处：《中国医药指南》2023年第3期111-113,共3页Guide of China Medicine

摘　　要：目的 对比分析老年膨胀期白内障患者行不同术式(小切口囊外摘除术、超声乳化术)治疗的预后效果,为老年膨胀期白内障疾病手术治疗提供参考。方法 选择我院眼科2018年5月至2019年5月期间收治治疗的老年膨胀期白内障疾病患者(n=70),采取手术治疗,患者知情情况下以随机数字表法分组(对照组、观察组)。对照组35例老年患者行小切口囊外摘除术治疗,观察组35例老年患者行超声乳化术治疗。比较两组老年膨胀期白内障患者的手术情况,包括手术时间、住院情况、并发症以及手术前后眼压、视力水平。结果 术前阶段,组间眼压、视力情况比较,差异并无显著性P>0.05。术后1个月、3个月比较术前眼压、视力明显改善,且观察组患者指标改善幅度更大,明显优于对照组,P<0.05,具有统计学意义。组间手术时间、术后住院时间比较,观察组患者用时明显短于对照组,P<0.05具有统计学意义。组间住院治疗总费用比较,观察组费用明显少于对照组,P<0.05具有统计学意义。组间角膜水肿、角膜内皮损害、眼压升高、前房渗出等并发症情况比较,差异并无显著性P>0.05。结论 小切口囊外摘除术、超声乳化术均可用于治疗老年膨胀期白内障治疗中,就整体手术效果比较,超声乳化术优势显著,但费用也相对较高。Objective To compare and analyze the prognostic effects of different surgical methods(small incision extracapsular excision and phacoemulsification) in elderly patients with expansive cataract, so as to provide reference for the surgical treatment of senile patients with expansive cataract. Methods Elderly patients with swelling cataract disease(n=70) who were admitted to the department of ophthalmology of our hospital from May 2018 to May 2019 were selected for surgical treatment. The patients were informed and grouped by random number table method(control group and observation group). In the control group, 35 elderly patients were treated with small incision extracapsular excision;in the observation group, 35 elderly patients were treated with phacoemulsification. The operation conditions of the two groups of elderly patients with inflatable cataract were compared, including operation time, hospitalization, complications, intraocular pressure and visual acuity before and after the operation. Results At the preoperative stage, there was no significant difference in intraocular pressure and visual acuity between the two groups. The intraocular pressure and visual acuity of the patients in the observation group were significantly improved at 1 and 3 months after the operation compared with those before the operation, and the improvement of the indicators in the observation group was greater than that in the control group, which was significantly better than that in the control group(P<0.05). The operative time and postoperative hospitalization time in the observation group were significantly shorter than that in the control group, which was statistically significant at P<0.05. The comparison of total hospitalization cost between the groups showed that the cost in the observation group was significantly less than that in the control group(P<0.05),which was statistically significant. There was no significant difference between the two groups in corneal edema, corneal endothelial damage,intraocular pressure, anterior

关 键 词：小切口囊外摘除术 超声乳化术 老年患者 膨胀期白内障 手术治疗情况 

分 类 号：R776.1[医药卫生—眼科]