糖尿病性白内障患者2种眼科手术方法的临床疗效比较  

Comparision of clinical effects of two surgical methods for ophthalmology department for diabetic cataract patients

作　　者：李娜 黄海 杨宇 LI Na;HUANG Hai;YANG Yu(Department of Ophthalmology,Nanchong Central Hospital of Sichuan Province,the Second Clinical Medical College of North Sichuan Medical University,Nanchong,Sichuan,637000)

机构地区：[1]四川省南充市中心医院/川北医学院第二临床医学院眼科,四川南充637000

出　　处：《实用临床医药杂志》2023年第13期111-113,118,共4页Journal of Clinical Medicine in Practice

基　　金：四川省卫生健康委员会科研课题(普及应用项目)立项课题(2020PJ300)。

摘　　要：目的比较不同方案治疗糖尿病性白内障(DC)的临床效果。方法选取175例DC患者,根据手术方案分为A组88例和B组87例。A组采用小切口白内障囊外摘除联合人工晶体植入术,B组采用超声乳化抽吸联合人工晶体植入术。比较2组术前(T_(0))、术后14 d(T_(1))、术后1个月(T_(2))最佳矫正视力、角膜散光度、泪液分泌量;记录围术期并发症发生率情况;采用中文版低视力者生活质量量表(CLVQOL)评估T_(0)、T_(1)、T_(2)时各维度评分。结果A组T_(1)时最佳矫正视力高于B组,T_(2)时最佳矫正视力和角膜散光高于B组,差异有统计学意义(P<0.05)。A组患者角膜水肿的发生率为4.55%,低于B组的14.94%,差异有统计学意义(P<0.05)。2组T_(1)时CLVQOL各维度得分及总分均高于T_(0),差异有统计学意义(P<0.05)。结论小切口白内障囊外摘除联合人工晶体植入术对患者早期视力恢复效果更佳,且并发症发生率较低。Objective To compare the clinical effects of different treatments for diabetic cataract(DC).Methods A total of 175 DC patients were selected and divided into group A(88 cases)and group B(87 cases)according to the operation plan.The group A was treated with small incision extracapsular cataract extraction combined with intraocular lens implantation,while the group B was treated with phacoemulsification combined with intraocular lens implantation.The optimal corrected visual acuity,corneal dispersion and tear secretion were compared between the two groups before surgery(T_(0)),14 d after surgery(T_(1))and 1 month after surgery(T_(2));the incidence of perioperative complications was recorded;the Chinese version of the Quality of Life Scale for People with Low vision(CLVQOL)was used to evaluate the scores of dimentions at T_(0),T_(1) and T_(2).Results The optimal corrected visual acuity at T_(1) in the group A was significantly higher than that in the group B,the optimal corrected visual acuity and corneal astigmatism at T_(2) were significantly higher than those in the group B(P<0.05).The incidence of corneal edema in the group A was 4.55%,which was significantly lower than 14.94%in the group B(P<0.05).The item scores and total score of CLVQOL at T_(1) were significantly higher than those at T_(0)(P<0.05).Conclusion Small incision extracapsular cataract extraction combined with intraocular lens implantation has better effect on early vision recovery and lower complication rate.

关 键 词：白内障 糖尿病 小切口白内障囊外摘除 超声乳化抽吸 晶体植入 

分 类 号：R776.1[医药卫生—眼科] R587.1[医药卫生—临床医学]