| 王娜 赵奎卿 赵丽萍 景美玲 李梅 杨静雯.小切口囊外摘除术与超声乳化吸除术治疗老年白内障的疗效[J].,2015,15(32):6328-6330 |
| 小切口囊外摘除术与超声乳化吸除术治疗老年白内障的疗效 |
| Efficacy of Small Incision Extracapsular Cataract Extraction andPhacoemulsification for Elderly Patients |
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| DOI： |
| 中文关键词: 超声乳化吸除术 小切口囊外摘除术 白内障 |
| 英文关键词: Phacoemulsification Extracapsular extraction with small incision Cataract |
| 基金项目:宝鸡市卫生局科研立项(2009-2号) |
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| 中文摘要: |
| 目的：比较小切口囊外摘除术与超声乳化吸除术治疗老年白内障的临床疗效。方法：选择2014 年3 月-2015 年3 月在我院
接受治疗的老年白内障患者100 例，根据手术方式不同分为两组，每组50 例。观察组采用小切口非超声乳化囊外摘除术，对照组
采用超声乳化白内障吸除术。观察并比较两组患者围手术期眼压变化、视力恢复情况以及并发症的发生情况。结果：观察组术后
2 h、6 h、12 h及24 h眼压均低于对照组，差异有统计学意义（P<0.05）；术后48 h两组眼压比较，差异无统计学意义（P>0.05）。观察
组术后1 周视力高于对照组，差异有统计学意义（P<0.05）；术后1 个月、3 个月两组视力比较，差异无统计学意义（P>0.05）。观察组
术后并发症的发生率低于对照组，差异具有统计学意义（P<0.05）。结论：小切口囊外摘除术治疗老年白内障具有围术期眼压升高
慢、术后视力恢复快、并发症少等特点，值得临床推广应用。 |
| 英文摘要: |
| Objective:To compare the clinical effects of small incision non-phacoemulsification emulsion with ultrasonic
emulsification cataract extracapsular extraction gettering treatment for the elderly patients.Methods:100 patients with senile cataract who
were treated in our hospital from March 2014 to March 2015 were selected and according to different surgical methods, the patients were
divided into two groups with 50 patients in each group. The patients in the observation group were treated with the small incision
phacoemulsification extracapsular cataract extraction, while the patients in the control group were treated with the ultrasound
phacoemulsification. Then the intraocular pressure, visual acuity and complications in the two groups were observed and compared.Results:The IOP of 2 h, 6 h and 12 h after the treatment in the observation group were lower than those of the control group, and the
differences were statistically significant (P<0.05). There was no statistically significant difference about the IOP in the two groups after
the treatment for 48 h (P>0.05). The visual acuity of the observation group after the treatment for 1 week was better than that of the
control group, and the difference was statistically significant (P<0.05). There was no statistically significant difference about the visual
acuity in the two groups after the treatment for 1 month and 3 months, (P>0.05). The incidence of complications in the observation group
was lower than that of the control group, and the difference was statistically significant (P<0.05).Conclusion:It is worthy of clinical
application that the small incision extracapsular extraction has better effects for patients with cataract, which has the advantages of
reducing iop, improving the visual acuity and decreasing the postoperative complications. |
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