超声乳化白内障摘除术与小切口白内障囊外摘除术治疗老年白内障患者的效果比较  

Comparison on Effect of Phacoemulsification and Small Incision Extracapsula r Cataract Extraction in the Treatment of Elderly Cataract Patients

作　　者：葛松祺 孙磊[1] GE Songqi;SUN Lei(Department of Ophthalmology,Yellow River Central Hospital,Yellow River Conservancy Commission,Zhengzhou 450003,China)

机构地区：[1]黄河水利委员会黄河中心医院眼科,河南郑州450003

出　　处：《临床医学工程》2024年第11期1303-1304,共2页Clinical Medicine & Engineering

摘　　要：目的对比超声乳化白内障摘除术与小切口白内障囊外摘除术治疗老年白内障患者的临床效果。方法将80例(100只眼)老年白内障患者根据手术方法不同分为A组(42例,50只眼,行超声乳化白内障摘除术治疗)和B组(38例,50只眼,行小切口白内障囊外摘除术治疗)。比较两组的角膜内皮细胞情况(角膜内皮细胞计数、角膜内皮细胞丢失率)、眼压、视力及并发症发生情况。结果A组术后1个月时的角膜内皮细胞计数高于B组,角膜内皮细胞丢失率低于B组(P<0.05)。A组术后1个月、术后3个月的眼压低于B组,视力高于B组(P<0.05)。两组术后并发症发生率比较无统计学差异(P>0.05)。结论与小切口白内障囊外摘除术相比,超声乳化白内障摘除术可明显减少老年白内障患者角膜内皮细胞丢失,降低眼压,改善患者的视力,且安全性较高。Objective To compare the clinical effect of phacoemulsification and small incision extracapsular cataract extraction in the treatment of elderly cataract patients.Methods 80 cases(100 eyes)of elderly cataract patients were selected and divided into group A(42 cases,50 eyes,phacoemulsification)and group B(38 cases,50 eyes,small incision extracapsular cataract extraction)according to different surgical methods.The corneal endothelial cell condition(corneal endothelial cell count,corneal endothelial cell loss rate),intraocular pressure,visual acuity and complications were compared between the two groups.Results The corneal endothelial cell count of group A at 1 month after operation was higher than that of group B,and the corneal endothelial cell loss rate was lower than that of group B(P<0.05).1 month and 3 months after operation,the intraocular pressure of group A were lower than those of group B,and the visual acuity were higher than those of group B(P<0.05).No statistical difference was found in the incidence of postoperative complications between the two groups(P>0.05).Conclusions Compared with small incision extracapsular cataract extraction,phacoemulsification can significantly reduce the corneal endothelial cell loss in elderly cataract patients,reduce the intraocular pressure,and improve the visual acuity,with higher safety.

关 键 词：老年白内障 超声乳化白内障摘除术 小切口白内障囊外摘除术 角膜内皮细胞 眼压 视力 

分 类 号：R776.1[医药卫生—眼科]