中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
21期
15-18
,共4页
白内障摘除术%超声乳化白内障吸除术%Meta分析
白內障摘除術%超聲乳化白內障吸除術%Meta分析
백내장적제술%초성유화백내장흡제술%Meta분석
Cataract extraction%Phacoemulsification%Meta-analysis
目的 系统评价小切口囊外白内障摘除术(MSICS)与超声乳化白内障吸除术(PHACO)对术后视觉质量的影响及手术的并发症.方法 通过计算机文献检索,结合手工检索,对纳入的有关MSICS和PHACO临床疗效的相关文献进行Meta分析,以OR和加权均数差(WMD)为效应量,应用RevMan5.0软件进行Meta分析.结果 共有9篇文献纳入研究.MSICS与PHACO术后1周裸眼视力(OR =0.93,95％ CI 0.68～ 1.27)、手术后囊破裂(OR=1.07,95％ CI 0.73～1.58)、角膜水肿(OR=0.90,95％ CI0.70～ 1.16)、术后1个月手术源性散光(WMD=0.08,95％ CI-0.02～0.17)比较差异均无统计学意义(P＞0.05).结论 MSICS与PHACO临床疗效相似,MSICS更符合中国国情.
目的 繫統評價小切口囊外白內障摘除術(MSICS)與超聲乳化白內障吸除術(PHACO)對術後視覺質量的影響及手術的併髮癥.方法 通過計算機文獻檢索,結閤手工檢索,對納入的有關MSICS和PHACO臨床療效的相關文獻進行Meta分析,以OR和加權均數差(WMD)為效應量,應用RevMan5.0軟件進行Meta分析.結果 共有9篇文獻納入研究.MSICS與PHACO術後1週裸眼視力(OR =0.93,95％ CI 0.68～ 1.27)、手術後囊破裂(OR=1.07,95％ CI 0.73～1.58)、角膜水腫(OR=0.90,95％ CI0.70～ 1.16)、術後1箇月手術源性散光(WMD=0.08,95％ CI-0.02～0.17)比較差異均無統計學意義(P＞0.05).結論 MSICS與PHACO臨床療效相似,MSICS更符閤中國國情.
목적 계통평개소절구낭외백내장적제술(MSICS)여초성유화백내장흡제술(PHACO)대술후시각질량적영향급수술적병발증.방법 통과계산궤문헌검색,결합수공검색,대납입적유관MSICS화PHACO림상료효적상관문헌진행Meta분석,이OR화가권균수차(WMD)위효응량,응용RevMan5.0연건진행Meta분석.결과 공유9편문헌납입연구.MSICS여PHACO술후1주라안시력(OR =0.93,95％ CI 0.68～ 1.27)、수술후낭파렬(OR=1.07,95％ CI 0.73～1.58)、각막수종(OR=0.90,95％ CI0.70～ 1.16)、술후1개월수술원성산광(WMD=0.08,95％ CI-0.02～0.17)비교차이균무통계학의의(P＞0.05).결론 MSICS여PHACO림상료효상사,MSICS경부합중국국정.
Objective To evaluate the postoperative complications and visual quality after manual small incision cataract surgery (MSICS) versus phacoemulsification (PHACO).Methods A systematic review of MSICS and PHACO was conducted by a computer search on Medline,Pubmed,CBM and CNKI and a supplementary manual search was also done.The effect was measured as an odds ratio (OR) and weighted mean difference (WMD).RevMan 5.0 software was used to perform the Meta-analysis.Results A total of 9 articles were included in the Meta-analysis.Naked visual acuity at 1 week after surgery (OR =0.93,95％ CI 0.68-1.27),posterior capsular ruptured after surgery (OR =1.07,95％ CI 0.73-1.58),corneal edema after surgery (OR =0.90,95 ％ CI 0.70-1.16),surgically induced astigmatism at 1 month after surgery (WMD =0.08,95％ CI-0.02-0.17) in MSICS and PHACO was no statistically significant difference (P ＞0.05).Conclusion MSICS is safe and reliable surgery as same as PHACO for the patients with cataract,MSICS is more consistent with China' s national conditions.
