非超声乳化小切口与超声乳化吸除手术白内障临床对比分析

目的 探讨非超声乳化小切口白内障囊外摘除联合人工晶状体植入术与超声乳化白内障吸除联合人工晶状体植入术术后效果的差异.方法 对104例(106只眼)白内障患者施行巩膜隧道式小切口白内障摘除联合后房型人工晶状体植入术,91例(104只眼)施行白内障超声乳化联合人工晶状体植入术.结果 非超声乳化组术后第1天裸眼视力等于或大于0.8者或以上者占54.72%,术后一周裸眼视力大于0.8者或以上者占83.02%,角膜水肿占54.72%,虹膜损伤占34.91%;而超声乳化组术后裸眼视力术后第一天等于或大于0.8者占74.04%,术后一周裸眼视力等于或大于0.8者占97.11%,角膜水肿20.19%,虹膜损伤7.69%.两组经方差分析差异具有统计学意义(P<0.01).结论 超声乳化白内障吸除术较非超声乳化小切口白内障摘除术具有术后组织反应轻,组织损伤小及术后视力恢复快等优点.

Clinical comparison of small incision non-phacoemulsification cataract surgery and phacoemulsification surgery

Objective To compare the clinical efficiency of small incision non-phacoemulsification cataract surgery with intraocular lens implantation and phacoernulsification surgery with intraocular lens im-plantation.Methods All patients were assigned to cataract extraction and intraocular lens implantation.Small scleral tunnel incision was performed on 106 eyes of 104 cataracts patients, and phacoemulsification was per-formed on 104 eyes of 91 cases.Results In the small incision non-phacoemulsification cataract surgery group, the vision of the patients (54.72%) was improved to 0.8 or higher on the first day after operation,83.02% on one week after operation.54.72% patients had corneal opacity after operation, and 34.91% had iris injury.In the pbacoemulsification surgery group, the vision of the patients (74.04%) was 0.8 or higher on the first day after operation, 97.11% on one week after uperation.Only 20.19% patients had corneal opacity, and 7.69% had iris injury.There were statistical significance between these two groups (P<0.01).Conclusions The phacoemulsification surgery and intraocular lens implantation can reduce the intraocular trauma for cataract extraction and boost quicker recovery after operation compared to the small incision non-phacoemulsi-fication cataract surgery and intraocular lens implantation.Phacoemulsification is a safer and more effective mode.