小切口囊外摘除术与超声乳化术分别联合人工晶状体植入术治疗白内障患者的效果比较  

Comparison of effects of small incision extracapsular extraction and phacoemulsification aspiration combined with intraocular lens implantation in treatment of cataract patients

作　　者：刘俊杰 郭康杰 LIU Junjie;GUO Kangjie(Department of Ophthalmology of Luohe Hospital of Traditional Chinese Medicine,Luohe 462000 Henan,China)

机构地区：[1]漯河市中医院眼科,河南漯河462000

出　　处：《中国民康医学》2024年第10期155-157,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较小切口囊外摘除术与超声乳化术分别联合人工晶状体植入术治疗白内障患者的效果。方法:选取2020年1月至2022年12月该院收治的70例白内障患者进行前瞻性研究,按照随机数字表法分为研究组与对照组各35例。对照组采取超声乳化术联合人工晶状体植入术治疗,研究组采取小切口囊外摘除术联合人工晶状体植入术治疗,比较两组手术前后视力水平、角膜内皮细胞密度、六角形细胞占比和并发症发生率。结果:术后1 d、3 d、7 d、1个月,研究组视力水平高于对照组,差异均有统计学意义(P<0.05);术后3个月,两组角膜内皮细胞密度、六角形细胞占比均低于术前,但研究组高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为8.57%,低于对照组的28.57%,差异有统计学意义(P<0.05)。结论:小切口囊外摘除术联合人工晶状体植入术治疗白内障患者可提高其术后视力水平和角膜内皮细胞密度、六角形细胞占比,降低其并发症发生率,效果优于超声乳化术联合人工晶状体植入术治疗。Objective:To compare effects of small incision extracapsular extraction and phacoemulsification aspiration combined with intraocular lens implantation in treatment of cataract patients.Methods:A prospective study was conducted on 70 cataract patients admitted to the hospital from January 2020 to December 2022.According to the random number table method,they were divided into study group and control group,35 cases in each group.The control group was treated with phacoemulsification aspiration combined with intraocular lens implantation,while the study group was treated with small incision extracapsular extraction combined with intraocular lens implantation.The visual acuity,the corneal endothelial cell density,the proportion of hexagonal cells,and the incidence of complications were compared between the two groups before and after surgery.Results:At 1 d,3 d,7 d and 1 month after the surgery,the visual acuity of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).At 3 months after the surgery,the corneal endothelial cell density and the proportion of hexagonal cells in the two groups were lower than those before the surgery,but those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was 8.57%,which was lower than 28.57%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Small incision extracapsular cataract extraction combined with intraocular lens implantation in the treatment of the cataract patients can improve the postoperative visual acuity,the corneal endothelial cell density and the hexagonal cell proportion,and reduce the incidence of complications.Moreover,it is superior to phacoemulsification aspiration combined with intraocular lens implantation.

关 键 词：白内障 超声乳化术 小切口囊外摘除术 人工晶状体植入术 视力 角膜内皮细胞 六角形细胞 

分 类 号：R776.1[医药卫生—眼科]