CAJ | 학술논문

目的：探讨小切口白内障囊外摘除联合人工晶体植入术治疗老年性白内障的临床疗效。方法将整群选取的该院2012年9月-2014年7月收治的180例老年性白内障患者随机分为两组，每组90例，观察组采取小切口白内障囊外摘除联合人工晶体植入术治疗，对照组采取传统白内障囊外摘除联合人工晶体植入术治疗，比较两组患者的手术疗效及并发症发生情况。结果两组患者术后1月患者的视力较术前均有明显改善，差异有统计学意义（P<0.01），但两组间比较，差异无统计学意义（P>0.05）；观察组并发症发生率为2.22%，低于对照组，差异有统计学意义（P<0.01）。结论小切口白内障囊外摘除联合人工晶体植入术治疗老年性白内障疗效确切，且并发症少，值得临床推广应用。
목적：탐토소절구백내장낭외적제연합인공정체식입술치료노년성백내장적림상료효。방법장정군선취적해원2012년9월-2014년7월수치적180례노년성백내장환자수궤분위량조，매조90례，관찰조채취소절구백내장낭외적제연합인공정체식입술치료，대조조채취전통백내장낭외적제연합인공정체식입술치료，비교량조환자적수술료효급병발증발생정황。결과량조환자술후1월환자적시력교술전균유명현개선，차이유통계학의의（P<0.01），단량조간비교，차이무통계학의의（P>0.05）；관찰조병발증발생솔위2.22%，저우대조조，차이유통계학의의（P<0.01）。결론소절구백내장낭외적제연합인공정체식입술치료노년성백내장료효학절，차병발증소，치득림상추엄응용。
Objective To evaluate the clinical efficacy of small incision extracapsular cataract extraction and intraocular lens im-plantation surgery in the treatment of cataract in the elderly. Methods 180 elderly patients with cataract admitted in our hospital from September 2012 to July 2014 were randomly divided into two groups with 90 patients in each. The observation group were treated by small incision extracapsular cataract extraction and intraocular lens implantation, and the control group were treated by traditional extracapsular cataract extraction and intraocular lens implantation. And the surgical efficacy and incidence of complica-tions of the two groups were compared. Results One month after the surgery, the visual acuity was significantly improved in both groups compared with before surgery(P<0.01), but there was no statistically significant difference in that between the two groups(P>0.05). The incidence of complications of the observation group was 2.22%, significantly lower than that of the control group (P<0.01). Conclusion For elderly patients with cataract, small incision extracapsular cataract extraction combined with intraocular lens implantation has exact effect with fewer complications, so it is worthy of clinical promotion and application.