国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
5期
854-856
,共3页
白内障%高龄%小切口%超声乳化术%疗效
白內障%高齡%小切口%超聲乳化術%療效
백내장%고령%소절구%초성유화술%료효
cataract%senile%small incision%phacoemulsification%curative effect
目的：研究探讨高龄白内障患者两种小切口手术疗效。
<br> 方法：本研究选取高龄白内障患者71例123眼作为研究对象,年龄76~96岁。将123眼随机分为小切口囊外白内障摘出术组(A组,55眼)和超声乳化组(B组,68眼)再分别接受人工晶状体植入。
<br> 结果：两组患者术后视力比较无显著差异(P>0.05)。两组分别有42眼和54眼出现角膜水肿。两组之间发生Ⅰ级、Ⅱ级及Ⅲ级角膜水肿的眼数无显著差异(χ2=0.81,P>0.05)；但A组发生Ⅲ级的比例少于B组。A组患者角膜水肿术后消退时间快于B组,其中术后1d消退的眼数A组多于B组(χ2=6.45,P<0.05)。术后两组内皮细胞计数分别是(2341±238)个/mm2和(2181±282)个/mm2,两组间无显著差异(P>0.05)。A组并发症发生率比较低。
<br> 结论：小切口囊外白内障摘出术治疗高龄白内障,是一种比较安全、有效的方式,其疗效与超声乳化手术相近,且费用较低,更适于基层医院推广应用。
目的：研究探討高齡白內障患者兩種小切口手術療效。
<br> 方法：本研究選取高齡白內障患者71例123眼作為研究對象,年齡76~96歲。將123眼隨機分為小切口囊外白內障摘齣術組(A組,55眼)和超聲乳化組(B組,68眼)再分彆接受人工晶狀體植入。
<br> 結果：兩組患者術後視力比較無顯著差異(P>0.05)。兩組分彆有42眼和54眼齣現角膜水腫。兩組之間髮生Ⅰ級、Ⅱ級及Ⅲ級角膜水腫的眼數無顯著差異(χ2=0.81,P>0.05)；但A組髮生Ⅲ級的比例少于B組。A組患者角膜水腫術後消退時間快于B組,其中術後1d消退的眼數A組多于B組(χ2=6.45,P<0.05)。術後兩組內皮細胞計數分彆是(2341±238)箇/mm2和(2181±282)箇/mm2,兩組間無顯著差異(P>0.05)。A組併髮癥髮生率比較低。
<br> 結論：小切口囊外白內障摘齣術治療高齡白內障,是一種比較安全、有效的方式,其療效與超聲乳化手術相近,且費用較低,更適于基層醫院推廣應用。
목적：연구탐토고령백내장환자량충소절구수술료효。
<br> 방법：본연구선취고령백내장환자71례123안작위연구대상,년령76~96세。장123안수궤분위소절구낭외백내장적출술조(A조,55안)화초성유화조(B조,68안)재분별접수인공정상체식입。
<br> 결과：량조환자술후시력비교무현저차이(P>0.05)。량조분별유42안화54안출현각막수종。량조지간발생Ⅰ급、Ⅱ급급Ⅲ급각막수종적안수무현저차이(χ2=0.81,P>0.05)；단A조발생Ⅲ급적비례소우B조。A조환자각막수종술후소퇴시간쾌우B조,기중술후1d소퇴적안수A조다우B조(χ2=6.45,P<0.05)。술후량조내피세포계수분별시(2341±238)개/mm2화(2181±282)개/mm2,량조간무현저차이(P>0.05)。A조병발증발생솔비교저。
<br> 결론：소절구낭외백내장적출술치료고령백내장,시일충비교안전、유효적방식,기료효여초성유화수술상근,차비용교저,경괄우기층의원추엄응용。
AIM: To research the curative effect analysis of two kinds of small incision surgery treating senile cataract patients.
<br> METHODS: Totally 71 senile cataract patients ( 123 eyes) , aged from 76 years to 96 years, were selected as the research objects. All 55 eyes were all treated with small incision non-phacoemulsification ( group A ) , and 68 eyes were treated with phacoemulsification ( group B) , and then both received intraocular lens implantation.
<br> RESULTS: The postoperative visual acuity of the patients between the two groups was no significant difference (P>0. 05). There were 42 eyes in group A and 54 eyes in group B which suffered from corneal edema. There was no significant difference in the number of corneal edema of grade Ⅰ, grade II and grade Ⅲbetween the two groups (Chi-square =0. 81, P>0. 81). The ratio of corneal edema of grade Ⅲ in group A was less than that in group B. The corneal edema after surgery in patients of group A was with faster fading time than that in group B, and the eyes of corneal edema in group A fading at 1d postoperatively were more than that in group B (Chi-square=6. 45, P<0. 05). Endothelial cell counts in group A and group B were ( 2 341+238 )/mm2 and ( 2 181+282 )/mm2 , respectively, and there was no significant difference between the two groups (P>0. 05). Group A was with a low complication rate.
<br> CONCLUSION: Small incision non-phacoemulsification treating senile cataract patients can get a good result for postoperative visual acuity recovery and correction, and it is safe and effective. It receives the similar curative effect with phacoemulsification, but takes less expense. It is worthy of clinical and wide application.
