CAJ | 학술논문

目的：探讨小切口非超声乳化手术在白内障治疗中的应用价值。方法将80例白内障患者按照治疗方法的不同分为观察组和对照组，每组40例。对照组采用超声乳化白内障摘除术治疗，观察组采用小切口非超声乳化手术治疗，比较2组患者的治疗效果、并发症发生情况及治疗费用。结果2组术后视力＞0．5的比率均显著高于术前（P ＜0．05）；对照组术后1 d 视力＞0．5的比率显著高于观察组（P ＜0．05）；术后1周、1个月时，2组视力＞0．5的比率比较差异无统计学意义（P ＞0．05）。2组患者术后并发症比较差异无统计学意义（P ＞0．05），观察组的治疗费用显著少于对照组（P ＜0．05）。结论小切口非超声乳化治疗白内障的疗效较好，且费用低、操作简便、易于推广，适合在广大基层医院开展。
목적：탐토소절구비초성유화수술재백내장치료중적응용개치。방법장80례백내장환자안조치료방법적불동분위관찰조화대조조，매조40례。대조조채용초성유화백내장적제술치료，관찰조채용소절구비초성유화수술치료，비교2조환자적치료효과、병발증발생정황급치료비용。결과2조술후시력＞0．5적비솔균현저고우술전（P ＜0．05）；대조조술후1 d 시력＞0．5적비솔현저고우관찰조（P ＜0．05）；술후1주、1개월시，2조시력＞0．5적비솔비교차이무통계학의의（P ＞0．05）。2조환자술후병발증비교차이무통계학의의（P ＞0．05），관찰조적치료비용현저소우대조조（P ＜0．05）。결론소절구비초성유화치료백내장적료효교호，차비용저、조작간편、역우추엄，괄합재엄대기층의원개전。
Objective To explore the value of small incision non-phacoemulsification surgery in the treatment of cataract.Methods Eighty patients with cataract were assigned to receive either phacoemulsification cataract extraction (control group,n=40)or small incision non-phacoemulsi-fication surgery (observation group,n=40).The efficacy,incidence of complications and cost of treatment were compared between the two groups.Results The percentage of patients with visu-al acuity>0.5 significantly increased after treatment in both groups (P <0.05).Furthermore,the percentage of patients with visual acuity>0.5 in control group was significantly higher than that in observation group 1 day after treatment (P <0.05).There was no significant difference in the percentage of patients with visual acuity>0.5 between the two groups 1 week and 1 month after operation (P >0.05).Moreover,there was no significant difference in the incidence of complica-tions between the two groups after operation (P >0.05).However,the cost of treatment in ob-servation group was significantly less than that in control group(P <0.05).Conclusion Small in-cision non-phacoemulsification surgery is effective,simple and economical for treating cataract. Therefore,this method is suitable for promotion in grassroots hospitals.