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糖尿病患者的白内障超声乳化手术

The phaco emulsification in diabetics with cataract
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摘要 目的探讨超声乳化手术对糖尿病患者白内障的治疗效果和并发症。方法对本院3年来29例(35眼)接受白内障超声乳化联合后房型人工晶体植入术的糖尿病患者进行回顾性分析,以另30例(35眼)同期接受白内障普通囊外摘除联合后房型人工晶体植入术的糖尿病患者为对照。结果超声乳化手术使糖尿病患者术后早期即获得了良好的视力,显著降低了受术眼术后早期角膜内皮水肿、前房渗出、瞳孔变形和虹膜萎缩后粘连等并发症的发生,与普通囊外摘除联合后房型人工晶体植入术有显著性差异,P<0.05。结论对糖尿病性白内障行超声乳化手术可减少并发症,可更好地保存视功能,值得推荐。 Objective To evaluate the effects and complications in diabetic patients with cataract following phaco emulsifications. Methods 29 cases (35 eyes) underwent phacoemulsifications and posterior chamber intraocular lens implantation since 1995 in our hospital were analysed retrospectively. The other 30 cases (35 eyes) underwent extracapsular cataract extraction and posterior chamber intraocular lens implantation at the same stage were taken as control group. Results Phacoemulsification enabled the diabetics to gain good visual acuity at an earlier date postoperatively, and significantly decreased the incidence of complications on treated eyes such as endothelial corneal edema, exudation in anterior chamber, pupil deformation, iris atrophy and posterior synechia as compared with control group, ( P< 0.05). Conclusion Phacoemulsification could decrease the complications and preserve visual function more effectively, and should be recommended.
出处 《上海医学》 CAS CSCD 北大核心 1999年第5期276-278,共3页 Shanghai Medical Journal
关键词 糖尿病 白内障 超声乳化术 并发症 Diabetes Cataract Phacoemulsification
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参考文献6

  • 1戴自英.实用内科学,第8版[M].北京:人民卫生出版社,1991.662.
  • 2朱煌 周韵秋 等.超声乳化术后囊破裂的分析[J].中国实用眼科杂志,1997,15:218-221.
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