中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
6期
854-856
,共3页
白内障%巩膜电凝%角膜散光
白內障%鞏膜電凝%角膜散光
백내장%공막전응%각막산광
Cataract%Sclera electric coagulation%Corneal astigmatism
目的 探讨巩膜电凝(SEC)对小切口白内障囊外摘除术(SIECCE)后角膜散光及切口愈合影响.方法 选取行SIECCE并人工晶体植入术(IOLI)的白内障患者70例,按随机数字表法分为观察组和对照组各35例,观察组采用SEC,对照组不采用.采用角膜地形图仪比较两组术后角膜散光的变化,通过裂隙灯观察术后眼前房反应.结果 手术后1周,观察组与对照组角膜散光分别为(0.88±0.47)°与(1.24±0.79)°,观察组角膜散光明显小于对照组(t=2.20,P＜0.05);术后1个月两组角膜散光分别为(0.86±0.54)°与(1.01±0.69)°,差异无统计学意义(t=l.14,P＞0.05);术后3个月两组角膜散光分别为(0.79±0.28)°与(0.87±0.49)°,差异无统计学意义(t=1.86,P＞0.05);对照组术后发生浅前房、前房渗漏者分别有2例、3例,并发症发生率为14.28％,观察组无l例发生此类术后并发症(并发症发生率为0.00％),观察组并发症发生率明显低于对照组(x2 =13.83,P＜0.01).结论 SIECCE采用SEC,不仅可以增强切口稳定性,减少术后早期角膜散光,并且可以促进切口愈合,避免术后并发症的发生.
目的 探討鞏膜電凝(SEC)對小切口白內障囊外摘除術(SIECCE)後角膜散光及切口愈閤影響.方法 選取行SIECCE併人工晶體植入術(IOLI)的白內障患者70例,按隨機數字錶法分為觀察組和對照組各35例,觀察組採用SEC,對照組不採用.採用角膜地形圖儀比較兩組術後角膜散光的變化,通過裂隙燈觀察術後眼前房反應.結果 手術後1週,觀察組與對照組角膜散光分彆為(0.88±0.47)°與(1.24±0.79)°,觀察組角膜散光明顯小于對照組(t=2.20,P＜0.05);術後1箇月兩組角膜散光分彆為(0.86±0.54)°與(1.01±0.69)°,差異無統計學意義(t=l.14,P＞0.05);術後3箇月兩組角膜散光分彆為(0.79±0.28)°與(0.87±0.49)°,差異無統計學意義(t=1.86,P＞0.05);對照組術後髮生淺前房、前房滲漏者分彆有2例、3例,併髮癥髮生率為14.28％,觀察組無l例髮生此類術後併髮癥(併髮癥髮生率為0.00％),觀察組併髮癥髮生率明顯低于對照組(x2 =13.83,P＜0.01).結論 SIECCE採用SEC,不僅可以增彊切口穩定性,減少術後早期角膜散光,併且可以促進切口愈閤,避免術後併髮癥的髮生.
목적 탐토공막전응(SEC)대소절구백내장낭외적제술(SIECCE)후각막산광급절구유합영향.방법 선취행SIECCE병인공정체식입술(IOLI)적백내장환자70례,안수궤수자표법분위관찰조화대조조각35례,관찰조채용SEC,대조조불채용.채용각막지형도의비교량조술후각막산광적변화,통과렬극등관찰술후안전방반응.결과 수술후1주,관찰조여대조조각막산광분별위(0.88±0.47)°여(1.24±0.79)°,관찰조각막산광명현소우대조조(t=2.20,P＜0.05);술후1개월량조각막산광분별위(0.86±0.54)°여(1.01±0.69)°,차이무통계학의의(t=l.14,P＞0.05);술후3개월량조각막산광분별위(0.79±0.28)°여(0.87±0.49)°,차이무통계학의의(t=1.86,P＞0.05);대조조술후발생천전방、전방삼루자분별유2례、3례,병발증발생솔위14.28％,관찰조무l례발생차류술후병발증(병발증발생솔위0.00％),관찰조병발증발생솔명현저우대조조(x2 =13.83,P＜0.01).결론 SIECCE채용SEC,불부가이증강절구은정성,감소술후조기각막산광,병차가이촉진절구유합,피면술후병발증적발생.
Objective To explore the effects of scleral electric coagulation(SEC) on postoperative astigmatism and incisional cicatrization after small-incision extracapsular cataract extraction (SIECCE).Methods 70 cataract patients who received SIECCE and intraocular lens implantation(IOLI) in our hospital were selected and randomly divided into the observation group and control group,35 cases in each group.The observation group received SEC,while the control group did not receive SEC.The postoperative corneal astigmatism of two groups was compared by using corneal topographic map meter,the postoperative anterior chamber reaction was observed through the slit lamp.Results 1 week after the surgery,the corneal astigmatism of the observation group and the control group were (0.88 ± 0.47) °,(1.24 ± 0.79) ° respectively,the corneal astigmatism of observation group was smaller than the control group(P ＜0.05).Postoperative 1 and 3 months,the corneal astigmatism of observation group and control group were (0.86 ± 0.54) ° vs (1.01 ± 0.69) °,(0.79 ± 0.28) ° vs (0.87 ± 0.49) °,there were no statistically significant differences between the two groups (t =1.14,1.86,all P ＞ 0.05).Postoperative shallow anterior chamber,leakage of anterior chamber of control group occurred 2 cases,3 cases,respectively,the incidence rate of complications was 14.28％.No postoperative complications occurred in observation group,the incidence rate of complications in the observation group (0.00％) was obviously lower than control group (x2 =13.83,P ＜ 0.01).Conclusion Application of SEC in SIECCE not only can strengthen stability of incision,reduce early postoperative corneal astigmatism,but also can promote healing of incision,prevent postoperative complications such as shallow anterior chamber and anterior chamber leaks.
