超声乳化手术和小切口非超声乳化手术治疗白内障的临床效果比较

胡小莉

（西安爱尔古城眼科医院白内障科，陕西 西安，710043）

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摘要：

目的 分析超声乳化手术和小切口非超声乳化手术治疗白内障的临床效果。方法 178 例白内障患者，根据双盲法将其 分为研究组（89例95只眼）与对照组（89例96只眼）。对照组给予超声乳化术治疗，研究组给予小切口非超声乳化术治疗。 比较两组患者的术后视力、角膜散光以及并发症发生率。结果 与研究组比较，对照组患者术后1 d的视力恢复情况明显更优（P<0.05）；两组患者术后7、30 d视力恢复情况比较，差异无统计学意义（P>0.05）。与手术前比较，两组患者术后7、30 d 角膜散光度明显更优（P<0.05）；与对照组比较，研究组患者术后7 d角膜散光度明显更大（P<0.05）；两组患者术后30 d角膜散光 度比较，差异无统计学意义（P>0.05）。两组患者的虹膜脱出、角膜水肿、前房积血以及后囊破裂等并发症的发生率比较，差异无统计学意义（P>0.05）。结论 超声乳化手术与小切口非超声乳化手术治疗白内障的临床效果均十分显著，术后患者视力恢复良好，并发症发生率均比较低，值得在临床治疗工作中推广运用。

关键词：小切口超声乳化术；小切口非超声乳化术；白内障

中图分类号：R779.66文献标志码：A文章编号：2096-1413(2017)30-0068-02

Clinical therapeutic effect comparison of phacoemulsification and small incision non-phacoemulsification

in the treatment of cataract
HU Xiao-li
(Department of Cataract Diseases, Aier Eye Hospital of Xi``an, Xi``an 710043, China)

ABSTRACT: Objective To analyze the clinical effect of phacoemulsification and small incision non phacoemulsification in the treatment of cataract. Methods A total of 178 patients with cataract treated were selected as the subjects. The patients were divided into study group(89 cases, 95 eyes) and control group (89 cases, 96 eyes) according to double blind method. The control group was given phacoemulsification treatment, the study group given small incision non -phacoemulsification treatment. The postoperative visual acuity, corneal astigmatism and complication rate were compared between the two groups. Results Compared with the study group, the visual acuity of the patients in the control group was significantly better at 1 d postoperatively (P <0.05). There was no significant difference in visual acuity between the two groups at 7 and 30 d postoperatively (P>0.05). Compared with before treatment, the corneal astigmatism of the two groups were better at 7 and 30 d postoperatively (P<0.05). Compared with the control group, the corneal astigmatism of the study group was significantly greater at 7 d postoperatively (P<0.05). There were no significant differences in corneal astigmatism between the two groups after 30 d postoperatively, and the incidence of complications such as iris prolapse, corneal edema, hyphema and rupture of posterior capsule (P>0.05). Conclusion The clinical effects of phacoemulsification and small incision cataract surgery are very significant. The postoperative vision recovery is good and the complication rate is low. It is worth popularizing in the clinical treatment.

KEYWORDS: phacoemulsification; small incision non-phacoemulsification; cataract

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