中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
23期
3586-3588
,共3页
白内障%手术%对照研究
白內障%手術%對照研究
백내장%수술%대조연구
Cataract%Opsration%Comparision
目的：比较两种小切口手术治疗糖尿病白内障的疗效。方法将100例糖尿病白内障患者采用数字表法随机分为两组，观察组50例（76眼），对照组50例（73眼）。观察组采用小切口非超声乳化治疗，对照组采用小切口超声乳化治疗。比较两组视力、角膜内皮细胞密度、术后角膜水肿和术后散光。结果两组手术前不同视力段眼数分布差异无统计学意义（χ2＝0．297，P＞0．05）；两组术后3 d不同视力段眼数分布差异有统计学意义（χ2＝1．163，P＞0．05）；两组术后1个月不同视力段眼数分布差异有统计学意义（χ2＝0.928，P＞0．05）。对照组术前角膜内皮细胞密度为（2369±261）个／mm2，观察组为（2403±277）个／mm2；两组患者角膜内皮细胞密度在术前差异无统计学意义（t＝0．467，P＞0．05），对照组术后3 d和术后1个月角膜内皮细胞密度分别为（1635±189）个／mm2和（1706±196）个／mm2，观察组分别为（1931±207）个／mm2和（1982±203）个／mm2。观察组角膜内皮细胞密度明显高于对照组（t＝2．726、2．460，均P＜0．05）。两组术后角膜水肿发生率分别为35．6％，51．3％，观察组明显高于对照组（χ2＝4．960，P＜0．05）。两组术后散光的发生率分别为42．5％，26．3％，观察组明显低于对照组（χ2＝5．210，P＜0．05）。结论两种小切口手术各有优缺点，疗效相当。
目的：比較兩種小切口手術治療糖尿病白內障的療效。方法將100例糖尿病白內障患者採用數字錶法隨機分為兩組，觀察組50例（76眼），對照組50例（73眼）。觀察組採用小切口非超聲乳化治療，對照組採用小切口超聲乳化治療。比較兩組視力、角膜內皮細胞密度、術後角膜水腫和術後散光。結果兩組手術前不同視力段眼數分佈差異無統計學意義（χ2＝0．297，P＞0．05）；兩組術後3 d不同視力段眼數分佈差異有統計學意義（χ2＝1．163，P＞0．05）；兩組術後1箇月不同視力段眼數分佈差異有統計學意義（χ2＝0.928，P＞0．05）。對照組術前角膜內皮細胞密度為（2369±261）箇／mm2，觀察組為（2403±277）箇／mm2；兩組患者角膜內皮細胞密度在術前差異無統計學意義（t＝0．467，P＞0．05），對照組術後3 d和術後1箇月角膜內皮細胞密度分彆為（1635±189）箇／mm2和（1706±196）箇／mm2，觀察組分彆為（1931±207）箇／mm2和（1982±203）箇／mm2。觀察組角膜內皮細胞密度明顯高于對照組（t＝2．726、2．460，均P＜0．05）。兩組術後角膜水腫髮生率分彆為35．6％，51．3％，觀察組明顯高于對照組（χ2＝4．960，P＜0．05）。兩組術後散光的髮生率分彆為42．5％，26．3％，觀察組明顯低于對照組（χ2＝5．210，P＜0．05）。結論兩種小切口手術各有優缺點，療效相噹。
목적：비교량충소절구수술치료당뇨병백내장적료효。방법장100례당뇨병백내장환자채용수자표법수궤분위량조，관찰조50례（76안），대조조50례（73안）。관찰조채용소절구비초성유화치료，대조조채용소절구초성유화치료。비교량조시력、각막내피세포밀도、술후각막수종화술후산광。결과량조수술전불동시력단안수분포차이무통계학의의（χ2＝0．297，P＞0．05）；량조술후3 d불동시력단안수분포차이유통계학의의（χ2＝1．163，P＞0．05）；량조술후1개월불동시력단안수분포차이유통계학의의（χ2＝0.928，P＞0．05）。대조조술전각막내피세포밀도위（2369±261）개／mm2，관찰조위（2403±277）개／mm2；량조환자각막내피세포밀도재술전차이무통계학의의（t＝0．467，P＞0．05），대조조술후3 d화술후1개월각막내피세포밀도분별위（1635±189）개／mm2화（1706±196）개／mm2，관찰조분별위（1931±207）개／mm2화（1982±203）개／mm2。관찰조각막내피세포밀도명현고우대조조（t＝2．726、2．460，균P＜0．05）。량조술후각막수종발생솔분별위35．6％，51．3％，관찰조명현고우대조조（χ2＝4．960，P＜0．05）。량조술후산광적발생솔분별위42．5％，26．3％，관찰조명현저우대조조（χ2＝5．210，P＜0．05）。결론량충소절구수술각유우결점，료효상당。
Objective To compare the effects of two kinds of small incision operation in patients with diabetic cataract.Methods 100 patients with diabetic cataract were randomly divided into the two groups:the observation group(n=50,76 eyes) and the control group(n=50 cases,73 eyes).The observation group was operated through small incision non-phacoemulsification.The control group was treated with small incision phacoemulsification.The two groups of visual acuity,corneal endothelial cell density,corneal edema and postoperative astigmatism were compared. Results Two different eye surgery before the vision was no significant difference in the distribution segment(χ2 =0.297,P>0.05).Different postoperative visual acuity eye segment distribution after 3d were significantly different (χ2 =1.163,P>0.05).Different postoperative visual acuity eye segment distribution after 1m were significantly different(χ2 =0.928,P >0.05).The control group preoperative corneal endothelial cell density was (2 369 ± 261)cells/mm2,the observation group (2 403 ±277)cells/mm2.Preoperative corneal endothelial cell density was no significant difference between the two groups(t=0.467,P>0.05).Postoperative 3d and 1m,corneal endothelial cell density was (1 635 ±189)cells/mm2 and (1 706 ±196) cells/mm2 in the control group,(1 931 ±207) cells/mm2 and (1 982 ±203)a/mm2 in the observation group.The observation of corneal endothelial cell density was significantly higher(t=2.726,2.460,all P<0.05).The incidence of postoperative corneal edema were 35.6%,51.3%,and the observation group was significantly higher(χ2 =4.960,P<0.05).The incidence of postoperative astigmatism were 42.5%,26.3%,and the observation group was significantly lower than those of the control group(χ2 =5.210,P<0.05).Conclusion Two small incision surgery has advantages and disadvantages,and the effect is quite.
