CAJ | 학술논문

目的：临床分析大硬核白内障患者实施小切口白内障囊外摘除术中对大直径前囊口处理的运用。方法随机选取该院在2013年1月-2014年1月实施治疗的200例(200眼)白内障患者，所有患者均实施小切口白内障囊外摘除术治疗，并应用大直径前囊口处理手法，观察患者的临床治疗视力改善效果。结果和治疗前相比，200例患者在治疗后1d、1周、1个月、3个月的最佳矫正视力均显著偏高，差异有统计学意义(P<0.05)；术后1周、3个月和治疗前相比，患者的角膜屈光度有显著提升，差异有统计学意义(P<0.05)；术后平均散光度数逐渐从顺规性散光转向逆归性散光。结论大硬核白内障患者实施小切口白内障囊外摘除术中对大直径前囊口处理应用，能够对患者的视力实施良好的纠正，效果显著，值得推广应用。
목적：림상분석대경핵백내장환자실시소절구백내장낭외적제술중대대직경전낭구처리적운용。방법수궤선취해원재2013년1월-2014년1월실시치료적200례(200안)백내장환자，소유환자균실시소절구백내장낭외적제술치료，병응용대직경전낭구처리수법，관찰환자적림상치료시력개선효과。결과화치료전상비，200례환자재치료후1d、1주、1개월、3개월적최가교정시력균현저편고，차이유통계학의의(P<0.05)；술후1주、3개월화치료전상비，환자적각막굴광도유현저제승，차이유통계학의의(P<0.05)；술후평균산광도수축점종순규성산광전향역귀성산광。결론대경핵백내장환자실시소절구백내장낭외적제술중대대직경전낭구처리응용，능구대환자적시력실시량호적규정，효과현저，치득추엄응용。
Objective To analyze the clinical nuclear cataract patients big hard small incision extracapsular cataract extraction surgery before use of large-diameter capsule opening process. Methods 200 cases (200) of cataract patients of the clinical imple-mentation in our hospital treated from January 2013 to January 2014, all patients were to implement a small incision extracapsular cataract extraction treatment and application of large diameter anterior capsule opening handling, visual observation of the patient's clinical improvement. Results Compared with before treatment, 200 patients after treatment 1 d, 1 week, 1 month, 3 months, best corrected visual acuity was significantly higher, significant difference (P<0.05); after 1 week, 3 months and compared to before treatment, the patient's corneal refractive power has significantly improved contrast differences (P<0.05); mean postoperative astig-matism astigmatism gradually turned against the return from the cis-rule astigmatism. Conclusion Hardcore cataract patients with small incision extracapsular cataract extraction surgery for large-diameter capsule mouth before processing applications, can be good for the patient's vision to implement corrective effect is significant, should be widely applied.