低倍镜补偿景深超声乳化手术和小切口白内障手术对比观察

发布时间：2018-06-18 00:04

本文选题：小切口白内障囊外摘除术 + 白内障超声乳化术　；参考：《国际眼科杂志》2016年01期

【摘要】：目的:观察低倍镜补偿景深下超声乳化白内障摘除术和小切口白内障囊外摘除术的临床疗效。方法:回顾性分析869例1258眼白内障患者手术治疗的情况,其中采用超声乳化白内障摘除手术者共计247例432眼;采用小切口白内障摘除术者共计622例826眼,对患者的术后视力、角膜内皮计数、角膜水肿情况及并发症进行统计学分析。结果:两组患者术后1wk,1mo视力恢复情况和术后1d角膜水肿情况无统计学差异(P0.05);角膜内皮计数损失小切口白内障摘除手术组较超声乳化白内障摘除组略好(P0.05)。结论:基层医院手术显微镜景深不够清晰的情况下,仍可采用低倍镜补偿景深开展小切口白内障囊外摘除术和超声乳化白内障摘除术。
[Abstract]:Objective: to observe the clinical effect of phacoemulsification and small incision extracapsular cataract extraction under low power mirror compensation depth of field. Methods: the surgical treatment of 1258 eyes of 869 cases with cataract was retrospectively analyzed, including 247 cases (432 eyes) of cataract extraction by phacoemulsification and 622 cases (826 eyes) of cataract extraction by small incision. The count of corneal endothelium, corneal edema and complications were analyzed statistically. Results: there was no significant difference in the recovery of visual acuity and corneal edema 1 week after operation between the two groups (P 0.05), and the corneal endothelium count loss in the small incision cataract extraction group was better than that in phacoemulsification cataract extraction group (P 0.05). Conclusion: under the condition that the depth of field is not clear enough, the small incision extracapsular cataract extraction and phacoemulsification cataract extraction can still be carried out by using low power microscope compensation depth.
【作者单位】：湖南中医药大学研究生院;湖南省人民医院眼科;宁乡县人民医院眼科;
【基金】：湖南省高层次卫生人才“225”工程培养资助项目(No.湘卫人发[2013]13号)~~
【分类号】：R779.66

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