Phaco drill与小切口非超声乳化白内障摘除术治疗硬核白内障患者的效果  

Effect of Phaco drill and Small Incision Non-phacoemulsification Cataract Extraction in the Treatment of Patients with Hard Nuclear Cataract

作　　者：汪军红 屈晶 WANG Junhong;QU Jing(Macheng City Hospital of Traditional Chinese Medicine,Macheng 438300,China;不详)

机构地区：[1]麻城市中医医院,湖北麻城438300

出　　处：《中外医学研究》2024年第2期49-52,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨Phaco drill与小切口非超声乳化白内障摘除术治疗硬核白内障患者的效果。方法:回顾性选取2020年10月—2022年4月麻城市中医医院收治的60例硬核白内障患者。根据不同手术治疗方法将其分为Phaco组(n=25)和小切口组(n=35)。小切口组给予小切口非超声乳化白内障摘除术,Phaco组给予Phaco drill。比较两组术前、术后1个月眼睛恢复情况,术前,术后3 d、术后1个月及术后3个月角膜散光度,并发症。结果:术后1个月,Phaco组最佳矫正视力(best corrected visual acuity,BCVA)、眼压(intraocular pressure,IOP)、角膜内皮细胞(corneal endothelial cell,CEC)密度均高于小切口组,差异有统计学意义(P<0.05),两组中央角膜厚度(central corneal thickness,CCT)比较,差异无统计学意义(P>0.05)。重复测量方差分析显示,角膜散光度组间、时间、交互比较,差异有统计学意义(P<0.001)。术后3 d、术后1个月,Phaco组角膜散光度均低于小切口组,差异有统计学意义(P<0.05)。Phaco组术后并发症发生率低于小切口组,差异有统计学意义(P<0.05)。结论:Phaco drill治疗硬核白内障可促进患者恢复,近期对角膜散光度的影响较小,对角膜内皮损伤较小,且术后并发症发生率低。Objective:To investigate the effect of Phaco drill and small incision non-phacoemulsification cataract extraction in the treatment of patients with hard nuclear cataract.Method:A total of 60 patients with hard nuclear cataract treated in Macheng City Hospital of Traditional Chinese Medicine from October 2020 to April 2022 were retrospectively selected.They were divided into Phaco group(n=25)and small incision group(n=35)according to different surgical treatment methods.The small incision group was given small incision non-phacoemulsification cataract extraction,and the Phaco group was given Phaco drill.The ocular recovery condition before surgery and 1 month after surgery,corneal astigmatism before surgery and 3 d,1 month and 3 months after surgery,and complications were compared between the two groups.Result:At 1 month after surgery,the best corrected visual acuity(BCVA),intraocular pressure(IOP),corneal endothelial cell(CEC)density in Phaco group were higher than those of the small incision group,the differences were statistically significant(P<0.05),but there was no statistical significance in central corneal thickness(CCT)between the two groups(P>0.05).Repeated measures analysis of variance showed that corneal astigmatism had statistical significance among groups,time,and interaction(P<0.001).At 3 d and 1 month after surgery,the corneal astigmatism in the Phaco group were lower than those in the small incision group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the Phaco group was lower than that in the small incision group,and the difference was statistically significant(P<0.05).Conclusion:Phaco drill in the treatment of hard nuclear cataract can promote patient recovery,have less short-term impact on corneal astigmatism,less damage to the corneal endothelium,and have a low incidence of postoperative complications.

关 键 词：Phaco drill 小切口非超声乳化白内障摘除术 硬核白内障 最佳矫正视力 角膜散光度 并发症 

分 类 号：R779.66[医药卫生—眼科]