CAJ | 학술논문

目的：观察白内障超声乳化摘除联合人工晶状体植入术对硬核白内障的临床治疗效果。方法选择2011年12月至2014年6月我院门诊及住院部收治的82例硬核白内障患者为对象，根据治疗方式的不同将其分为研究组和对照组，其中给予小切口白内障摘除联合人工晶状体植入术治疗的患者为对照组，给予白内障超声乳化摘除联合人工晶状体植入术治疗的患者为研究组，对比分析两组患者治疗后的视力、散光程度、眼压以及并发症情况等。结果两组患者术后视力恢复的比较χ2＝16．3137、14．5388、18．5152、8．8221；术后角膜散光及眼压的比较t ＝4．4822、4．7358；研究组总并发症率较对照组高，组间比较χ2＝3．9664；P均＜0．05，差异具有统计学意义。结论白内障超声乳化摘除联合人工晶状体植入术对硬核白内障的临床治疗效果显著，明显改善患者的视力及散光情况，但其对眼角膜上皮细胞造成的伤害大，临床治疗中应根据患者的病情选择治疗方式。
목적：관찰백내장초성유화적제연합인공정상체식입술대경핵백내장적림상치료효과。방법선택2011년12월지2014년6월아원문진급주원부수치적82례경핵백내장환자위대상，근거치료방식적불동장기분위연구조화대조조，기중급여소절구백내장적제연합인공정상체식입술치료적환자위대조조，급여백내장초성유화적제연합인공정상체식입술치료적환자위연구조，대비분석량조환자치료후적시력、산광정도、안압이급병발증정황등。결과량조환자술후시력회복적비교χ2＝16．3137、14．5388、18．5152、8．8221；술후각막산광급안압적비교t ＝4．4822、4．7358；연구조총병발증솔교대조조고，조간비교χ2＝3．9664；P균＜0．05，차이구유통계학의의。결론백내장초성유화적제연합인공정상체식입술대경핵백내장적림상치료효과현저，명현개선환자적시력급산광정황，단기대안각막상피세포조성적상해대，림상치료중응근거환자적병정선택치료방식。
Objective To evaluate the efficacy of ultrasonic emulsification combined with intraocular lens implan-tation in the treatment for hard nuclear cataract.Methods Eighty-two patients with hard nuclear cataract were admitted in our hospital between December 2011 and June 2014.The patients received either small incision cataract surgery ( control group) or ultrasonic emulsification combined with intraocular lens implantation.Visual acuity, astigmatism, intraocular pressure and complications were compared between the two groups.Results Chi-square tests for the ratio of visual acuity<0.1, between 0.1~0.3, between 0.3~0.6 and >0.6 between the two groups returnedχ2 values of 16.3, 14.5, 18. 5 and 8.82, respectively.All are statistically significant ( P <0.01).Differences in corneal astigmatism and intraocular pressure between the two groups were examined with t-tests, ( t =4.4822 and t =4.7358, respectively).Complications were more common in patients received ultrasonic emulsification combined with intraocular lens implantation (χ2 =3.9664, P <0.05) .Conclusion Ultrasonic emulsification combined with intraocular lens implantation delivers significant results on patients with hard nucleus cataract, improves visual acuity and astigmatism, but also brings more damage on corneal epi-thelial cells.Therefore appropriate treatment should be selected carefully in accordance with the conditions of patients.