摘要
目的探讨超声乳化白内障摘除术和小切口非超声乳化治疗高龄白内障的疗效。方法将60例高龄白内障患者分为小切口非超声乳化内障摘除术治疗组(观察组)和超声乳化白内障摘除术治疗组(对照组)各30例,比较两组患者的近期疗效及并发症。结果观察组术后12h、24h的眼压显著高于对照组(P<0.05)。两组术后1d、1周、1个月时的视力均显著高于术前(P<0.05),但两组之间差异无统计学意义(P>0.05)。两组术后并发症差异无统计学意义(P>0.05)。观察组术后1d时的散光度显著高于对照组(P<0.05),术后1周、1个月时的散光度与对照组差异无统计学意义(P>0.05)。观察组的手术成本显著少于对照组(P<0.05)。结论小切口非超声乳化容易导致患者术后眼压增高,但与超声乳化手术疗效近似,成本少,适合基层医院开展。
Objective To investigate the short-term efficacy ofphacoemulsification surgery and small incision non-phacoemulsification surgery in senile cataract.Methods Sixty patients with senile cataract were divided into the observation group （treated by small incision non-phacoemulsification surgery） and the control group （treated by phacoemulsification cataract surgery）,with 30 cases in each group.The curative effect and complications were compared between the two groups.Results The intraocular pressure 12 h,24 h after operation in the observation group were significantly higher than those in the control group （P＜0.05）.The postoperative visual acuity of two groups one day,one week,one month after operation were significantly higher than those before the operation （P＜0.05）,with no significant difference between the two groups （P＞0.05）.Postoperative complications of two groups showed no significant difference （P＞0.05）.Astigmatism one day after operation in the observation group was significantly higher than the control group （P＜0.05）,while that one week and one month after operation showed no significant difference （P＞0.05）.Operation cost in the observation group was significantly less than that in the control group （P＜0.05）.Conclusion Small incision non-phacoemulsification easily leads to increased intraocular pressure after surgery,but the curative effect is similar with ultrasonic emulsification operation,with less cost,which is suitable for primary hospital.
出处
《海南医学》
CAS
2013年第16期2380-2382,共3页
Hainan Medical Journal
关键词
超声乳化
小切口非超声乳化
高龄白内障
近期疗效
Phacoemulsification
Small incision non-phacoemulsification
Senile cataract
Short-term efficacy
