中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
26期
50-53
,共4页
巩膜隧道切口%透明角膜切口%白内障超声乳化摘除术%泪膜
鞏膜隧道切口%透明角膜切口%白內障超聲乳化摘除術%淚膜
공막수도절구%투명각막절구%백내장초성유화적제술%루막
Scleral tunnel incision%Clear corneal inci-sion%Phacoemulsification%Tear film
目的：观察巩膜隧道切口和透明角膜切口对白内障超声乳化摘除术患者术后泪膜的影响。方法临床纳入63例患者共70眼行白内障超声乳化吸除联合人工晶体植入术的非干眼患者，根据切口不同分为巩膜隧道切口组(32例，35眼)与透明角膜切口组(31例，35眼)，两组患者均进行折叠人工晶状体植入。术后第1、7、14、30、90天观察两组患者泪液分泌试验(SIt)、泪膜破裂时间(BUT)以及自觉干眼感觉等。结果术后第1天及第7天，两组患者自觉干眼症状明显，巩膜隧道切口组干眼症状评分[(2.55±0.96)、(1.49±0.62)分]明显高于透明角膜切口组[(1.18±0.72)、(0.98±0.71)分]，差异有统计学意义(P<0.05)；SIt试验显示，术后第1天，巩膜隧道切口组与透明角膜切口组患者SIt分别为(19.55±2.47)、(17.62±2.51)mm，均较术前显著升高，巩膜隧道切口组长于透明角膜切口组，差异有统计学意义(P<0.05)；BUT试验显示，术后第1、7、14天，两组BUT均较术前显著缩短，巩膜隧道切口组[(4.07±0.63)、(4.62±0.86)、(6.37±0.67)s]长于透明角膜切口组[(3.42±0.67)、(4.06±0.90)、(5.88±0.77)s]，差异有统计学意义(P<0.05)。结论术后早期，进行透明角膜切口白内障超声乳化摘除术的患者，对泪膜的影响较小，但临床干眼症状要重于进行巩膜隧道切口的患者。术后晚期，两种切口进行白内障超声乳化摘除术对泪膜无明显影响。
目的：觀察鞏膜隧道切口和透明角膜切口對白內障超聲乳化摘除術患者術後淚膜的影響。方法臨床納入63例患者共70眼行白內障超聲乳化吸除聯閤人工晶體植入術的非榦眼患者，根據切口不同分為鞏膜隧道切口組(32例，35眼)與透明角膜切口組(31例，35眼)，兩組患者均進行摺疊人工晶狀體植入。術後第1、7、14、30、90天觀察兩組患者淚液分泌試驗(SIt)、淚膜破裂時間(BUT)以及自覺榦眼感覺等。結果術後第1天及第7天，兩組患者自覺榦眼癥狀明顯，鞏膜隧道切口組榦眼癥狀評分[(2.55±0.96)、(1.49±0.62)分]明顯高于透明角膜切口組[(1.18±0.72)、(0.98±0.71)分]，差異有統計學意義(P<0.05)；SIt試驗顯示，術後第1天，鞏膜隧道切口組與透明角膜切口組患者SIt分彆為(19.55±2.47)、(17.62±2.51)mm，均較術前顯著升高，鞏膜隧道切口組長于透明角膜切口組，差異有統計學意義(P<0.05)；BUT試驗顯示，術後第1、7、14天，兩組BUT均較術前顯著縮短，鞏膜隧道切口組[(4.07±0.63)、(4.62±0.86)、(6.37±0.67)s]長于透明角膜切口組[(3.42±0.67)、(4.06±0.90)、(5.88±0.77)s]，差異有統計學意義(P<0.05)。結論術後早期，進行透明角膜切口白內障超聲乳化摘除術的患者，對淚膜的影響較小，但臨床榦眼癥狀要重于進行鞏膜隧道切口的患者。術後晚期，兩種切口進行白內障超聲乳化摘除術對淚膜無明顯影響。
목적：관찰공막수도절구화투명각막절구대백내장초성유화적제술환자술후루막적영향。방법림상납입63례환자공70안행백내장초성유화흡제연합인공정체식입술적비간안환자，근거절구불동분위공막수도절구조(32례，35안)여투명각막절구조(31례，35안)，량조환자균진행절첩인공정상체식입。술후제1、7、14、30、90천관찰량조환자루액분비시험(SIt)、루막파렬시간(BUT)이급자각간안감각등。결과술후제1천급제7천，량조환자자각간안증상명현，공막수도절구조간안증상평분[(2.55±0.96)、(1.49±0.62)분]명현고우투명각막절구조[(1.18±0.72)、(0.98±0.71)분]，차이유통계학의의(P<0.05)；SIt시험현시，술후제1천，공막수도절구조여투명각막절구조환자SIt분별위(19.55±2.47)、(17.62±2.51)mm，균교술전현저승고，공막수도절구조장우투명각막절구조，차이유통계학의의(P<0.05)；BUT시험현시，술후제1、7、14천，량조BUT균교술전현저축단，공막수도절구조[(4.07±0.63)、(4.62±0.86)、(6.37±0.67)s]장우투명각막절구조[(3.42±0.67)、(4.06±0.90)、(5.88±0.77)s]，차이유통계학의의(P<0.05)。결론술후조기，진행투명각막절구백내장초성유화적제술적환자，대루막적영향교소，단림상간안증상요중우진행공막수도절구적환자。술후만기，량충절구진행백내장초성유화적제술대루막무명현영향。
Objective To observe the impacts of scleral tunnel incision and clear corneal incision of phacoemulsifica-tion on tear film after operation. Methods 63 patients (70 eyes) received phacoemulsification and intraocular lens im-plantation were clinically chosen and divided into scleral tunnel incision group (32 cases, 35 eyes) and clear corneal incision group (31 cases,35 eyes) according to different incisions. Both groups were given fold intraocular lens implan-tation 1, 7, 14, 30 days and 90 days after operation, schirmer I test (SIt), tear break-up time (BUT) and self-felt dry eye sensation of the two groups were observed. Results 1 day and 7 days after operation, patients of both groups had obvious self-felt dry eye sensations, and dry eye symptom score of the scleral tunnel incision group [(2.55±0.96), (1.49±0.62) scores] were obviously higher than those of the clear corneal incision group [(1.18±0.72), (0.98±0.71) scores], the difference was statistically significant (P<0.05);SIt showed that 1 day after operation, SIt of two groups were improved compared with before operation, and the scleral tunnel incision group [(19.55±2.47) mm] was obviously longer than the clear corneal incision group [(17.62±2.51) mm], the difference was statistically significant (P<0.05); BUT showed that, 1, 7 days and 14 days after operation, BUT of both groups were obviously shortened compared with before operation, and the scleral tunnel incision group [(4.07±0.63), (4.62±0.86), (6.37±0.67) s] were obviously longer than those of the clear corneal incision group [(3.42±0.67), (4.06±0.90), (5.88±0.77) s], the differences were statistically significant (P<0.05). Conclusion At early stage after operation, clear corneal incision of phacoemulsification has little impact on tear film but with more obvious dry eye symptom than scleral tunnel incision. At late stage after operation, there is no sig-nificant difference between impacts of the two kinds of incisions of phacoemulsification on tear film.
