CAJ | 학술논문

目的对比超声乳化白内障摘除术与小切口非超声乳化囊外摘除术治疗青海地区白内障的临床疗效。方法收集2013年10月份青海省残疾人康复中心完成的扶贫白内障手术患者作为研究对象，根据术式，我们将738例（756只眼）白内障患者分为小切口非超声乳化白内障摘除术治疗组（A 组）和超声乳化白内障摘除术治疗组（B组）。对比分析两组患眼的近期疗效和并发症。结果术后2、5、10 d，两组患眼视力相比，差异无统计学意义（P ＞0．05）。A组患眼手术过程中纤维素性渗出膜、虹膜后粘连、后囊混浊、晶状体表面色素沉积等并发症的发生率是B组的0．86倍。两组患者术后第l天角膜水肿情况相比，差异无统计学意义（P ＞0．05）。结论青海地区白内障患者行超声乳化术和小切口白内障摘出术对视力改善无显著影响，但超声乳化吸出术治疗白内障的近期疗效较好。
목적대비초성유화백내장적제술여소절구비초성유화낭외적제술치료청해지구백내장적림상료효。방법수집2013년10월빈청해성잔질인강복중심완성적부빈백내장수술환자작위연구대상，근거술식，아문장738례（756지안）백내장환자분위소절구비초성유화백내장적제술치료조（A 조）화초성유화백내장적제술치료조（B조）。대비분석량조환안적근기료효화병발증。결과술후2、5、10 d，량조환안시력상비，차이무통계학의의（P ＞0．05）。A조환안수술과정중섬유소성삼출막、홍막후점련、후낭혼탁、정상체표면색소침적등병발증적발생솔시B조적0．86배。량조환자술후제l천각막수종정황상비，차이무통계학의의（P ＞0．05）。결론청해지구백내장환자행초성유화술화소절구백내장적출술대시력개선무현저영향，단초성유화흡출술치료백내장적근기료효교호。
Objective Comparing the therapeutic effects of phacoemulsification and non-phacoemulsification with small incision to treat cataract in Qinghai. Methods A total of 738 patients (756 eyes)were enrolled from Qinghai disa-bled rehabilitation center since October 2013 for this study. Patients were divided into two groups. Group A received non-phacoemulsification with small incision and group B received phacoemulsification. Results (1)There was no difference in visual acuity between two groups at 2 days,5 days and 10 days after surgery. (2)Relative risk of complications,inclu-ding fibrinous exudate membrane,iris adhesion,posterior capsular opacity,and pigment deposition on the lens surface, was 0. 86 for group A versus group B. (3)There was no difference in corneal edema between the two groups. Conclusion There is no significant difference in visual acuity improvement between the two groups,although phacoemulsification has better outcomes in short term. Therefore,the non-phacoemulsification with small incision is recommended in Qinghai.