T形钩预劈核联合囊膜精细处理技术治疗高度近视伴白内障的效果及对视觉质量的影响  

Effect of T-hook pre-chopping nucleus combined with capsule fine processing technology in the treatment of high myopia with cataract and its influence on visual quality

作　　者：雍智谋 管小丹[2] 王小莉 YONG Zhimou;GUAN Xiaodan;WANG Xiaoli(Hanbin District First Hospital,Ankang 725000;Ankang Central Hospital,Ankang 725000;Xi'an People's Hospital,Xi'an 710004,China)

机构地区：[1]汉滨区第一医院,陕西安康725000 [2]安康市中心医院,陕西安康725000 [3]西安市人民医院,陕西西安710004

出　　处：《临床医学研究与实践》2024年第17期33-36,共4页Clinical Research and Practice

基　　金：陕西省重点研发计划项目(No.2021SF-336)。

摘　　要：目的探讨T形钩预劈核联合囊膜精细处理技术治疗高度近视伴白内障的效果及对视觉质量的影响。方法选取2020年1月至2022年6月收治的120例高度近视伴白内障患者为研究对象,根据治疗方式不同将其分为对照组和观察组,各60例。对照组采用白内障超声乳化术治疗,观察组在此基础上应用T形钩预劈核联合囊膜精细处理技术治疗。比较两组的治疗效果。结果观察组的视力优于对照组(P<0.05)。术后,观察组的看电视、阅读书写、夜间视物及精细操作评分高于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。术前、术后,两组的角膜内皮六角形细胞比例、角膜内皮细胞密度无明显差异(P>0.05)。结论T形钩预劈核联合囊膜精细处理技术可提高高度近视伴白内障患者的视力改善效果及视觉质量,降低术后并发症发生率,值得推广。Objective To investigate the effect of T-hook pre-chopping nucleus combined with capsule fine processing technology in the treatment of high myopia with cataract and its influence on visual quality.Methods A total of 120 patients with high myopia and cataract admitted from January 2020 to June 2022 were selected as the research objects.According to different treatment methods,the patients were divided into control group and observation group,with 60 cases in each group.The control group was treated with phacoemulsification,and the observation group was treated with T-hook pre-chopping nucleus combined with capsule fine processing technology on this basis.The therapeutic effects of the two groups were compared.Results The visual acuity of the observation group was better than that of the control group(P<0.05).After operation,the scores of watching TV,reading and writing,night vision and fine operation in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Before and after operation,there were no significant differences in the proportion of corneal endothelial hexagonal cells and corneal endothelial cell density between the two groups(P>0.05).Conclusion T-hook pre-chopping nucleus combined with capsule fine processing technology can improve the visual acuity improvement effect and visual quality of patients with high myopia with cataract,and reduce the incidence of postoperative complications,which is worthy of promotion.

关 键 词：T形钩预劈核 囊膜精细处理技术 高度近视 白内障 视觉质量 

分 类 号：R779.6[医药卫生—眼科]