PHACO中采用巩膜隧道切口与透明角膜切口的效果对比及对泪膜功能的影响  

Comparison of the Effect of Scleral Tunnel Incision and Clear Corneal Incision in PHACO and Effect on Tear Film Function

作　　者：戴国林[1,2] 潘庆渊 由岫 梁小庆 DAI Guolin;PAN Qingyuan;YOU Xiu;LIANG Xiaoqing(Wujin Hospital Affiliated to Jiangsu University,Changzhou 213017,China;不详)

机构地区：[1]江苏大学附属武进医院,江苏常州213017 [2]徐州医科大学武进临床学院

出　　处：《中国医学创新》2023年第34期7-11,共5页Medical Innovation of China

摘　　要：目的:对比白内障超声乳化术(PHACO)中采用巩膜隧道切口与透明角膜切口的效果及对泪膜功能的影响。方法:选取江苏大学附属武进医院2019年4月—2022年4月收治的210例行PHACO的白内障患者纳入本次研究,根据术中切口不同将其分为对照组(105例)和研究组(105例)。对照组术中行透明角膜切口,研究组术中行巩膜隧道切口。比较两组临床疗效、泪膜功能、术后并发症发生情况。结果:术后1、4、12周,两组视力水平均高于术前,研究组均高于对照组,差异均有统计学意义(P<0.05);术后1、4、12周,两组散光水平均低于术前,研究组均低于对照组,差异均有统计学意义(P<0.05)。术后1周,两组泪膜破裂时间(BUT)、泪液分泌试验(LST)结果均低于术前,但研究组均高于对照组,差异均有统计学意义(P<0.05);术后1周,两组角膜荧光素染色(FL)结果均高于术前,但研究组低于对照组,差异均有统计学意义(P<0.05)。研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:在白内障PHACO术中采用巩膜隧道切口的效果更好,患者的视力与散光水平的改善情况明显优于透明角膜切口,对患者泪膜功能的影响较小,且术后并发症较少。Objective:To compare the effect of scleral tunnel incision and clear corneal incision in phacoemulsification(PHACO)for cataract and the effect on tear film function.Method:A total of 210 cataract patients with PHACO admitted to Wujin Hospital Affiliated to Jiangsu University from April 2019 to April 2022 were included in this study,and were divided into control group(105 cases)and study group(105 cases)according to different intraoperative incisions.The control group underwent clear corneal incision during operation,and the study group underwent scleral tunnel incision during operation.The clinical efficacy,tear film function and postoperative complications were compared between the two groups.Result:1 week and 4,12 weeks after surgery,the visual acuity levels in both groups were higher than those before surgery,and those of the study group were higher than those in the control group,with statistically significant differences(P<0.05).1 week and 4,12 weeks after surgery,astigmatism levels in both groups were lower than those before surgery,and those in the study group were lower than those in the control group,with statistically significant differences(P<0.05).1 week after surgery,the tear film break-up time(BUT)and tear secretion test(LST)results of two groups were lower than those before surgery,but the study group were higher than those in the control group,the differences were statistically significant(P<0.05).1 week after surgery,corneal fluorescein staining(FL)results in both groups were higher than those before surgery,but the study group was lower than the control group,with statistical significance(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Scleral tunnel incision in cataract PHACO surgery has a better effect,the improvement of patients'visual acuity and astigmatism level is significantly better than that of clear corneal incision,and the effect on patients'tear film functi

关 键 词：白内障 超声乳化术 巩膜隧道切口 透明角膜切口 泪膜功能 

分 类 号：R779.66[医药卫生—眼科]