CAJ | 학술논문

目的：分析手法碎核小切口白内障摘除术与超声乳化白内障摘除术治疗硬核性白内障的应用价值。方法随机将95例硬核性白内障患者进行分组，对照组予超声乳化白内障摘除术治疗，实验组予手法碎核小切口白内障摘除术治疗，观察两组手术效果和安全性。结果实验组术后3个月矫正视力达到0.5~1.0患者(93.75%)明显高于对照组(81.01%)(P<0.05)；实验组术后1d、1周角膜散光情况高于对照组(P<0.01)；实验组术中并发后囊膜破裂发生率、角膜水肿发生率分别低于对照组(P<0.01)。结论手法碎核小切口白内障摘除术具有切口小、创伤少和并发症发生率低等优势，在治疗硬核性白内障方面优于超声乳化白内障摘除术。
목적：분석수법쇄핵소절구백내장적제술여초성유화백내장적제술치료경핵성백내장적응용개치。방법수궤장95례경핵성백내장환자진행분조，대조조여초성유화백내장적제술치료，실험조여수법쇄핵소절구백내장적제술치료，관찰량조수술효과화안전성。결과실험조술후3개월교정시력체도0.5~1.0환자(93.75%)명현고우대조조(81.01%)(P<0.05)；실험조술후1d、1주각막산광정황고우대조조(P<0.01)；실험조술중병발후낭막파렬발생솔、각막수종발생솔분별저우대조조(P<0.01)。결론수법쇄핵소절구백내장적제술구유절구소、창상소화병발증발생솔저등우세，재치료경핵성백내장방면우우초성유화백내장적제술。
Objective To analyze the value of applying manual small incision cataract surgery and phacoemulsification cataract surgery for treatment of hard nucleus cataract. Methods A total of 95 cases of hard nucleus cataract were ran-domly assigned to the control group given phacoemulsification cataract surgery and the experimental group given manu-al small incision cataract surgery. The surgical effect and safety were observed. Results At the end of the third month the surgery, 93.75%of the patients in the experimental group had corrected visual acuity of 0.5~1.0, significantly high-er than 81.01% of the control group (P<0.05). At the end of first day and first week after surgery, the experimental group had greater corneal astigmatism than the control group (P<0.01). The experimental group had lower incidence rate of posterior capsular rupture and corneal edema during surgery than the control group (P<0.01). Conclusion With the advantage of smaller incision, less trauma and lower incidence of complications, manual small incision cataract surgery has better efficacy for treatment of hard nucleus cataract than phacoemulsification cataract surgery.