中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2014年
2期
134-137
,共4页
撕囊,水下,连续,环形%小切口%白内障,硬核
撕囊,水下,連續,環形%小切口%白內障,硬覈
시낭,수하,련속,배형%소절구%백내장,경핵
Capsulorhexis,circular,continuous,underwater%Incision,small%Cataract,hard nucleus
目的 观察水下连续环形撕囊技术在手法小切口硬核白内障手术中的临床效果.方法 我院白内障236例(278眼).年龄53 ～88岁.晶状体核硬度Ⅳ～Ⅴ级.随机分为两组:常规撕囊组(122眼):晶状体核硬度Ⅳ级72眼,Ⅴ级50眼,水下撕囊组(156眼):晶状体核硬度Ⅳ级94眼,Ⅴ级62眼.比较两组环形撕囊成功率、手术源性散光度、术中术后并发症.随访3个月.结果 水下撕囊组成功率显著高于常规撕囊组(x2 =8.818,P＜0.01).两组手术前后散光度差异无统计学意义,组间术后散光差异无统计学意义.常规撕囊组中有3眼后囊破裂,水下撕囊组中有2眼后囊小范围破裂.结论 水下环形撕囊技术便捷易行、安全实用,适合成熟期和过熟期白内障的各种硬度的核.
目的 觀察水下連續環形撕囊技術在手法小切口硬覈白內障手術中的臨床效果.方法 我院白內障236例(278眼).年齡53 ～88歲.晶狀體覈硬度Ⅳ～Ⅴ級.隨機分為兩組:常規撕囊組(122眼):晶狀體覈硬度Ⅳ級72眼,Ⅴ級50眼,水下撕囊組(156眼):晶狀體覈硬度Ⅳ級94眼,Ⅴ級62眼.比較兩組環形撕囊成功率、手術源性散光度、術中術後併髮癥.隨訪3箇月.結果 水下撕囊組成功率顯著高于常規撕囊組(x2 =8.818,P＜0.01).兩組手術前後散光度差異無統計學意義,組間術後散光差異無統計學意義.常規撕囊組中有3眼後囊破裂,水下撕囊組中有2眼後囊小範圍破裂.結論 水下環形撕囊技術便捷易行、安全實用,適閤成熟期和過熟期白內障的各種硬度的覈.
목적 관찰수하련속배형시낭기술재수법소절구경핵백내장수술중적림상효과.방법 아원백내장236례(278안).년령53 ～88세.정상체핵경도Ⅳ～Ⅴ급.수궤분위량조:상규시낭조(122안):정상체핵경도Ⅳ급72안,Ⅴ급50안,수하시낭조(156안):정상체핵경도Ⅳ급94안,Ⅴ급62안.비교량조배형시낭성공솔、수술원성산광도、술중술후병발증.수방3개월.결과 수하시낭조성공솔현저고우상규시낭조(x2 =8.818,P＜0.01).량조수술전후산광도차이무통계학의의,조간술후산광차이무통계학의의.상규시낭조중유3안후낭파렬,수하시낭조중유2안후낭소범위파렬.결론 수하배형시낭기술편첩역행、안전실용,괄합성숙기화과숙기백내장적각충경도적핵.
Objective To investigate the clinical efficacy of underwater continuous circular capsulorhexis (CCC) technology in small incision hard nucleus cataract operation.Methods 278 eyes of 236 cases of cataract with Ⅳ-Ⅴ hard nuclei were enrolled in the study and patients' ages ranged from 53 to 88 years old.All cases were divided into two groups:conventional CCC group and underwater CCC group.There were 122 eyes(72 eyes with Ⅳ hard nuclei and 50 eyes with Ⅴ hard nuclei)in conventional CCC group,all of which accepted conventional CCC.There were 156 eyes (94 eyes with Ⅳ hard nuclei and 62 eyes with Ⅴhard nuclei) in underwater CCC group,all of which received underwater CCC.The surgical success rate,surgically induced astigmatism,intraoperative and postoperative complications were compared between two groups.The follow-up was 3 months.Results The surgical success rate of underwater CCC group was higher than that of conventional CCC group significantly (x2 =8.818,P ＜ 0.01).The changes of degree of astigmatism before and after surgery had no statistically significant in both two groups.Posterior capsular rupture was found in 3 eyes in conventional CCC group and 2 eyes in underwater CCC group.Conclusion Underwater CCC is safe and easy to operate,which is suitable for mature and hypermature cataract with different degrees of hard nuclei.
