CAJ | 학술논문

目的：评价超声乳化术和小切口非超声乳化囊外摘除术对老年性白内障患者的临床疗效差异以及对角膜内皮细胞的影响情况。 　　方法：回顾性分析我院2009-01／2013-01收治的白内障复明工程患者296例，其中140例患者采用超声乳化白内障吸出术治疗，156例患者采用小切口白内障囊外摘除术治疗。分析比较两组患者治疗效果的差异以及术后角膜内皮细胞的变化情况。 　　结果：术后3d超声乳化组患者视力和散光度均优于小切口非超声乳化组（P＜0．05）；两组患者手术前后角膜内皮细胞的损伤程度差异有统计学意义（P＜0．05），而术后1，3 mo视力情况和散光度以及术中、术后并发症差异无明显统计学差异（P＞0．05）。 　　结论：小切口非超声乳化囊外摘除术和超声乳化术治疗白内障疗效基本相当，但其有着良好的经济性，适合在基层医院以及白内障复明工程中广泛开展。
목적：평개초성유화술화소절구비초성유화낭외적제술대노년성백내장환자적림상료효차이이급대각막내피세포적영향정황。 　　방법：회고성분석아원2009-01／2013-01수치적백내장복명공정환자296례，기중140례환자채용초성유화백내장흡출술치료，156례환자채용소절구백내장낭외적제술치료。분석비교량조환자치료효과적차이이급술후각막내피세포적변화정황。 　　결과：술후3d초성유화조환자시력화산광도균우우소절구비초성유화조（P＜0．05）；량조환자수술전후각막내피세포적손상정도차이유통계학의의（P＜0．05），이술후1，3 mo시력정황화산광도이급술중、술후병발증차이무명현통계학차이（P＞0．05）。 　　결론：소절구비초성유화낭외적제술화초성유화술치료백내장료효기본상당，단기유착량호적경제성，괄합재기층의원이급백내장복명공정중엄범개전。
AIM:To evaluate the clinical therapeutic effects of senile cataract on phacoemulsification and small incision cataract surgery and the influence of corneal endothelium. METHODS: A retrospective analysis was performed in 296 cases of senile cataract in our hospital from Jan.2009 to Jan.2013 in the "Cataract extraction project".One hundred and forty cases underwent phacoemulsification treatment, whereas 156 cases received small incision extracapsular cataract extraction.The therapeutic efficacy and effects on corneal endothelial cells of the two groups were compared. RESULTS: After 3d operation, the visual acuity and corneal astigmatism in phacoemulsification group were much better than that in small incision cataract surgery group (P<0.05), and the two groups were statistically significant differences before operation ( P <0.05 ). However, after 1 and 3mo, the acuity, astigmatism and preoperative and postoperative complications had no significant differences (P>0.05). CONCLUSION: Both phacoemulsification and small incision extracapsular cataract extraction are effective methods of treatment of cataract.However, the method of small incision cataract surgery is more economic, and it is valuable in primary hospital and the “Cataract extraction project”.