国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
3期
526-528
,共3页
白内障%3.2 mm切口%手法碎核%折叠式
白內障%3.2 mm切口%手法碎覈%摺疊式
백내장%3.2 mm절구%수법쇄핵%절첩식
cataract%3.2mm incision%manual nuclear fragmentation%folding
目的：观察3．2mm切口手法碎核白内障摘除联合折叠式人工晶状体植入术的临床效果。<br> 方法：观察组：对我院78例95眼老年性白内障行3．2mm切口手法碎核白内障摘除联合折叠式人工晶状体植入术；对照组：对同期82例100眼老年性白内障行超声乳化白内障摘除联合折叠式人工晶状体植入术。观察并比较手术并发症及术后视力恢复情况。<br> 结果：观察组术中有2眼（2．1％）后囊膜破裂，3眼（3.2％）局限性悬韧带离断。术后切口方位角膜轻中度水肿混浊18眼（18．9％），1wk内前房闪辉22眼（23.2％）。对照组术中有3眼（3．0％）发生后囊膜破裂，4眼（4．0％）局限性悬韧带离断。术后角膜轻中度水肿混浊21眼（21．0％），1wk内前房闪辉26眼（26．0％）。两组均无后弹力膜脱离、前房出血、伤口渗漏及感染发生。两组并发症比较差异无统计学意义（P＞0．05）。两组术后视力比较差异无统计学意义（P＞0．05）。<br> 结论：3．2mm切口手法碎核行白内障摘除联合折叠式人工晶状体植入术操作安全、简便，具有小切口手术的优点，适于临床推广和普及。
目的：觀察3．2mm切口手法碎覈白內障摘除聯閤摺疊式人工晶狀體植入術的臨床效果。<br> 方法：觀察組：對我院78例95眼老年性白內障行3．2mm切口手法碎覈白內障摘除聯閤摺疊式人工晶狀體植入術；對照組：對同期82例100眼老年性白內障行超聲乳化白內障摘除聯閤摺疊式人工晶狀體植入術。觀察併比較手術併髮癥及術後視力恢複情況。<br> 結果：觀察組術中有2眼（2．1％）後囊膜破裂，3眼（3.2％）跼限性懸韌帶離斷。術後切口方位角膜輕中度水腫混濁18眼（18．9％），1wk內前房閃輝22眼（23.2％）。對照組術中有3眼（3．0％）髮生後囊膜破裂，4眼（4．0％）跼限性懸韌帶離斷。術後角膜輕中度水腫混濁21眼（21．0％），1wk內前房閃輝26眼（26．0％）。兩組均無後彈力膜脫離、前房齣血、傷口滲漏及感染髮生。兩組併髮癥比較差異無統計學意義（P＞0．05）。兩組術後視力比較差異無統計學意義（P＞0．05）。<br> 結論：3．2mm切口手法碎覈行白內障摘除聯閤摺疊式人工晶狀體植入術操作安全、簡便，具有小切口手術的優點，適于臨床推廣和普及。
목적：관찰3．2mm절구수법쇄핵백내장적제연합절첩식인공정상체식입술적림상효과。<br> 방법：관찰조：대아원78례95안노년성백내장행3．2mm절구수법쇄핵백내장적제연합절첩식인공정상체식입술；대조조：대동기82례100안노년성백내장행초성유화백내장적제연합절첩식인공정상체식입술。관찰병비교수술병발증급술후시력회복정황。<br> 결과：관찰조술중유2안（2．1％）후낭막파렬，3안（3.2％）국한성현인대리단。술후절구방위각막경중도수종혼탁18안（18．9％），1wk내전방섬휘22안（23.2％）。대조조술중유3안（3．0％）발생후낭막파렬，4안（4．0％）국한성현인대리단。술후각막경중도수종혼탁21안（21．0％），1wk내전방섬휘26안（26．0％）。량조균무후탄력막탈리、전방출혈、상구삼루급감염발생。량조병발증비교차이무통계학의의（P＞0．05）。량조술후시력비교차이무통계학의의（P＞0．05）。<br> 결론：3．2mm절구수법쇄핵행백내장적제연합절첩식인공정상체식입술조작안전、간편，구유소절구수술적우점，괄우림상추엄화보급。
AIM: To observe the clinical effect of 3.2mm incision manual fragmentation cataract extraction combined with intraocular lens ( IOL) implantation in cataract. <br> METHODS: The observation group: 78 patients ( 95 eyes ) with senile cataract in our hospital underwent 3.2mm incision and manual extraction combined with IOL implantation in nucleus cataract; the control group: 82 cases ( 100 eyes ) with senile cataract underwent phacoemulsification and foldable IOL implantation. Operation complications and the recovery of postoperative visual acuity were observed. <br> RESULTS:The patients in the observation group, 2 eyes (2.1%) of posterior capsule rupture, 3 eyes ( 3.2%) limitations zonule; postoperative range of mild to moderate corneal edema and opacity in 18 eyes (18.9%), within one week of the flare in 22 eyes ( 23.2%).The control group was in 3 eyes (3.0%) happened posterior capsule rupture, 4 eyes (4.0%) limitations zonule; mild to moderate edema of corneal opacity in 21 eyes ( 21.0%) , within one week of the flare in 26 eyes ( 26.0%) . The two groups were no elastic membrane detachment, anterior chamber hemorrhage, wound leakage and infection.The two groups had no statistically significant difference in complication (P>0.05).The two groups had no statistically significant difference in postoperative visual acuity (P>0.05). <br> CONCLUSION:3.2mm incision manual nucleus cataract extraction and IOL implantation operation is safe and convenient, has the advantages of small incision operation, suitable for clinical promotion and popularization.
