中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2009年
14期
30-32
,共3页
白内障%超声乳化%现代囊外摘除术%干眼症
白內障%超聲乳化%現代囊外摘除術%榦眼癥
백내장%초성유화%현대낭외적제술%간안증
Cataract%Phacoemulsification%Extracapsular cataract extraction%Dry eye disease
目的 对比研究白内障超声乳化术和现代囊外摘除术后眼表功能的变化.方法 选择156例186眼白内障患者,分为两组,分别进行白内障超声乳化联合人工晶体植入术(PHACO组,98例114眼)和白内障现代囊外摘除联合人工晶体植入术(ECCE组,58例72眼).术后1个月对干眼相关症状、体征、泪液分泌试验(schirmer Ⅰ试验)、泪膜破裂时间(BUT)、角膜荧光素染色、眼表虎红染色等项目进行检查和评分比较.结果 两组间在症状、体征、干眼诊断性试验等各项指标评分上均有显著性差异(P<0.05),ECCE组评分明显高于PHACO组,ECCE组干眼症发病率(27.78%)也高于PHACO组(4.38%),其差别同样具有显著性意义(P<0.05).结论 白内障现代囊外摘除术较超声乳化术在术后短期内更易对眼表功能造成影响,使泪膜稳定性受到破坏而产生干眼症.
目的 對比研究白內障超聲乳化術和現代囊外摘除術後眼錶功能的變化.方法 選擇156例186眼白內障患者,分為兩組,分彆進行白內障超聲乳化聯閤人工晶體植入術(PHACO組,98例114眼)和白內障現代囊外摘除聯閤人工晶體植入術(ECCE組,58例72眼).術後1箇月對榦眼相關癥狀、體徵、淚液分泌試驗(schirmer Ⅰ試驗)、淚膜破裂時間(BUT)、角膜熒光素染色、眼錶虎紅染色等項目進行檢查和評分比較.結果 兩組間在癥狀、體徵、榦眼診斷性試驗等各項指標評分上均有顯著性差異(P<0.05),ECCE組評分明顯高于PHACO組,ECCE組榦眼癥髮病率(27.78%)也高于PHACO組(4.38%),其差彆同樣具有顯著性意義(P<0.05).結論 白內障現代囊外摘除術較超聲乳化術在術後短期內更易對眼錶功能造成影響,使淚膜穩定性受到破壞而產生榦眼癥.
목적 대비연구백내장초성유화술화현대낭외적제술후안표공능적변화.방법 선택156례186안백내장환자,분위량조,분별진행백내장초성유화연합인공정체식입술(PHACO조,98례114안)화백내장현대낭외적제연합인공정체식입술(ECCE조,58례72안).술후1개월대간안상관증상、체정、루액분비시험(schirmer Ⅰ시험)、루막파렬시간(BUT)、각막형광소염색、안표호홍염색등항목진행검사화평분비교.결과 량조간재증상、체정、간안진단성시험등각항지표평분상균유현저성차이(P<0.05),ECCE조평분명현고우PHACO조,ECCE조간안증발병솔(27.78%)야고우PHACO조(4.38%),기차별동양구유현저성의의(P<0.05).결론 백내장현대낭외적제술교초성유화술재술후단기내경역대안표공능조성영향,사루막은정성수도파배이산생간안증.
Objective To evaluate the effect of phacoemulsification and extracapsular cataract extraction on the eye surface. Methods This clinical trial involved 156 patients(186 eyes) with cataract undergoing phacoemulsification (PHACO group, 98 cases 114 eyes) or extracapsular cataract extraction(ECCE group, 58cases 72 eyes). The symptoms and sings of dry eye disease, schirmers Ⅰ test, break-up time (BUT), corneal fluorescein staining, rosebengal staining were tested and marked l months after operation, comparison for the results was made between two groups. Results The marks of all the index such as symptom, sings, diagnostic test between two groups had significant difference (P<0.05). Marks in ECCE group were singificant higher than those in PHACO group. The rate of dry eye disease in the ECCE group(27.78%) was higher than that in the PHACO group (4.38%) and the difference was also singificant (P<0.05). Conclusions In a short term postoperatively, the extracapsular cataract extraction seems more easily to effect the function of eye surface and lead to dry eye disease than phacoemulsification.
