小切口白内障囊外摘除术与超声乳化白内障吸出术治疗高龄白内障患者的效果比较  

Comparison of effects of small incision extracapsular cataract extraction and phacoemulsification in treatment of elderly patients with cataract

作　　者：宁科伟 NING Kewei(Department of Ophthalmology of Ye County Hospital of Traditional Chinese Medicine,Pingdingshan 467200 Henan,China)

机构地区：[1]叶县中医院眼科,河南平顶山467200

出　　处：《中国民康医学》2023年第12期148-150,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较小切口白内障囊外摘除术与超声乳化白内障吸出术治疗高龄白内障患者的效果。方法:选取2019年1月至2021年4月该院收治的78例高龄白内障患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各39例。对照组采用超声乳化白内障吸出术治疗,观察组采用小切口白内障囊外摘除术治疗。比较两组临床疗效,手术前后散光度、裸眼视力、眼压水平,以及并发症发生率。结果:观察组治疗总有效率为87.18%,高于对照组的64.10%,差异有统计学意义(P<0.05);术后1、4、12周,两组散光度均低于术前,且观察组低于对照组,两组裸眼视力水平均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);术后2、6、12、24 h,两组眼压水平均高于术前,但观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为10.26%,低于对照组的23.08%,差异有统计学意义(P<0.05)。结论:小切口白内障囊外摘除术治疗高龄白内障患者可提高治疗总有效率和裸眼视力水平,降低散光度、眼压和并发症发生率,优于超声乳化白内障吸出术治疗效果。Objective:To compare effects of small incision extracapsular cataract extraction and phacoemulsification in treatment of elderly patients with cataract.Methods:A prospective study was conducted on 78 elderly cataract patients admitted to the hospital from January 2019 to April 2021.They were divided into control group and observation group according to the random number table method,39 cases in each.The control group was treated with phacoemulsification,while the observation group was treated with small incision extracapsular cataract extraction.The clinical efficacy,the astigmatism,the naked visual acuity level,the intraocular pressure level,and the incidence of complications before and after the surgery were compared between the two groups.Results:The total effective rate of treatment in the observation group was 87.18%,which was significantly higher than 64.10%in the control group,and the difference was statistically significant(P<0.05).1,4 and 12 weeks after the surgery,the astigmatism of the two groups were lower than those before the surgery,and those in the observation group were lower than those in the control group;the naked visual acuity levels of the two groups were higher than those before the surgery,and those in the observation group were higher than those in the control group;and the differences were statistically significant(P<0.05).2,6,12 and 24 h after the surgery,the intraocular pressure levels of the two groups were higher than those before the surgery,but those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 10.26%,which was lower than 23.08%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Small incision extracapsular cataract extraction in the treatment of the elderly patients with cataract can improve the total effective rate of treatment and the naked visual acuity,and reduce the astigmatism,the intraocul

关 键 词：高龄白内障 小切口白内障囊外摘除术 超声乳化白内障吸出术 视力 散光 眼压 

分 类 号：R779.66[医药卫生—眼科]