小切口非超声乳化囊外摘除术与超声乳化白内障吸除术治疗老年白内障效果对比

发布时间：2018-04-17 13:03

本文选题：白内障 + 小切口非超声乳化囊外摘除术　；参考：《中国老年学杂志》2017年14期

【摘要】：目的探讨不同术式在治疗老龄白内障患者的临床效果及并发症发生率差异。方法老龄白内障患者资料共304例,采用随机数字表法分成观察组各152例和对照组各152例,其中观察组行小切口非超声乳化囊外摘除术,对照组行超声乳化白内障吸除术。比较两组术前术后眼压、视力恢复及并发症发生情况。结果两组术前眼压比较无统计学差异(P0.05)。术后2、6、12、24 h眼压比较差异有统计学意义(P0.05)。术后48 h两组眼压无统计学差异(P0.05)。两组术前视力比较无统计学差异(P0.05)。术后1 w观察组视力高于对照组(P0.05)。术后1、3个月两组视力无统计学差异(P0.05)。观察组并发症发生率显著少于对照组(P0.05)。结论两种术式对于白内障的治疗效果差异不明显。相比超声乳化白内障吸除术,小切口非超声乳化囊外摘除术具有眼压升高缓慢、峰值低,术后视力恢复快以及并发症少等优势,更值得临床推广应用。
[Abstract]:Objective to investigate the clinical effect and incidence of complications of different surgical procedures for senile cataract patients.Methods 304 patients with senile cataract were randomly divided into two groups: the observation group (n = 152) and the control group (n = 152). The observation group received non-phacoemulsification extracapsular extraction with small incision and the control group received phacoemulsification cataract extraction.Intraocular pressure (IOP), visual acuity recovery and complications were compared between the two groups before and after operation.Results there was no significant difference in IOP between the two groups before operation (P 0.05).There was significant difference in intraocular pressure (IOP) within 24 hours after operation (P 0.05).There was no significant difference in IOP between the two groups at 48 h after operation (P 0.05).There was no significant difference in preoperative visual acuity between the two groups (P 0.05).The visual acuity of the observation group was higher than that of the control group at 1 week after operation (P 0.05).There was no significant difference in visual acuity between the two groups at 1 and 3 months after operation (P 0.05).The incidence of complications in the observation group was significantly lower than that in the control group (P 0.05).Conclusion there is no significant difference between the two methods in the treatment of cataract.Compared with phacoemulsification extracapsular cataract extraction, small incision non-phacoemulsification extracapsular extraction has the advantages of slow elevation of intraocular pressure, low peak value, quick recovery of visual acuity and less complications, etc.
【作者单位】：牡丹江医学院红旗医院;
【分类号】：R779.6

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