两种切口白内障囊外摘出联合人工晶状体植入术的疗效

目的：比较两种切口白内障囊外摘出联合人工晶状体植入术的临床效果。方法：回顾性分析延安大学附属医院眼科2008-02/2011-10收治的白内障患者143例164眼,按术式分A组（巩膜隧道切口白内障囊外摘出联合人工晶状体植入术）72例80眼,B组（透明角膜切口白内障囊外摘出联合人工晶状体植入术）71例84眼,并对两组患者手术前、术后1wk裸眼视力、散光、手术时间、术中和术后并发症进行统计学分析。结果：经统计学分析,A组和B组术后1wk裸眼视力、散光、手术时间比较,差别均有统计学意义（P〈0.05）;术中及术后发生后囊破裂并玻璃体脱出、角膜水肿、虹膜损伤、悬韧带断离等并发症差异无统计学意义（P〉0.05）。结论：透明角膜切口比巩膜隧道切口白内障囊外摘出联合人工晶状体植入术在临床效果方面优势明显,且简便、易行、经济、安全,更适合于基层医院开展。

Comparative study of the clinical effects between two modes of incision of extracapsular cataract extraction and intraocular lens implantation

AIM:To compare clinical effect between two modes of incision of extracapsular cataract extraction and intraocular lens implantation. METHODS:In the retrospective analysis,143 cases (164 eyes) with cataract (February 2008-October 2011)were divided into group A (scleral tunnel incision) 72 cases 80 eyes and group B (clear corneal incision) 71 cases 84 eyes, all patients were checked visual acuity before and 1 week after surgery, astigmatism, operation time, complications and analyzed statistically. RESULTS:There was significant statistical difference of visual acuity 1 week after surgery, astigmatism, operative time between the two groups(P<0.05),but no statistical difference of complications such as vitreous loss, corneal edema, iris damage and so on (P>0.05). CONCLUSION:There was more obvious advantages of clinical effect of the corneal incision than scleral tunnel incision in extracapsular cataract extraction and intraocular lens implantation, and also it is simple, easy, economical, safe, more suitable for primary hospital.