CAJ | 학술논문

目的探讨和分析白内障囊外摘除(ECCE)和超声乳化吸除术(PHACO)的白内障复明手术的手术效果.方法 2000年3月至2008年12月对408例(408只眼)行白内障手术.其中ECCE组92例(92只眼),PHACO组316例(316只眼).比较两组手术效果和手术并发症,将结果进行统计学分析.结果 ECCE组脱盲率为88.04%(81只眼),脱残率为56.52%(52只眼);PHACO组脱盲率为93.35%(295只眼),脱残率为76.27%(241只眼).两组比较差异有统计学意义(X~2=6.31,P<0.05)结论白内障超声乳化吸除联合人工晶状体植入术后可获得良好的复明效果.
목적 탐토화분석백내장낭외적제(ECCE)화초성유화흡제술(PHACO)적백내장복명수술적수술효과.방법 2000년3월지2008년12월대408례(408지안)행백내장수술.기중ECCE조92례(92지안),PHACO조316례(316지안).비교량조수술효과화수술병발증,장결과진행통계학분석.결과 ECCE조탈맹솔위88.04%(81지안),탈잔솔위56.52%(52지안);PHACO조탈맹솔위93.35%(295지안),탈잔솔위76.27%(241지안).량조비교차이유통계학의의(X~2=6.31,P<0.05)결론백내장초성유화흡제연합인공정상체식입술후가획득량호적복명효과.
Objective To discuss and analyze the therapeutic effects of cataract blindness prevention surgeries in our hospital.To summarize some experiences in cataract blindness prevention surgeries through comparing two kinds of cataract operation technique.Metheds A total of 408 cases (408 eyes) undergone cataract surgeries in our hospital sponsored by Nanchang charity con-community in the past eight years (from Mar.2000 to Dec.2008) were observed.The group of extracapsular cataract extraction (ECCE) included 92 eyes of 92 cases and the group of phacoemulsification (PHACO) included 316 eyes of 316 cases.The therapeu-tic effects and the postoperative complications of each method of cataract surgery were investigated and statisti-cally analyzed.Results In the investigation,the rate of escaped blindness and handicap of ECCE was 88.04% (81 eyes) and 56.52% (52 eyes) respectively, while the rate of escaped blindness and handicap of PHACO was 93.35% (295 eyes) and 76.27% (241 eyes) respectively.In both groups,the therapeutic effects showed significant difference (x~2=6.31, P<0.05).Conclusions Phacoemulsification and posterior chamber IOL im-plantation can get better therapeutic effect.