[1]曾洪波,宋春华,彭璟,等.超声乳化术与小切口非超声乳化术治疗老年性白内障临床疗效对比研究[J].陕西医学杂志,2018,(11):1400-1402,1437.
 Zeng Hongbo,Song Chunhua,Peng Jing,et al.Comparison of clinical efficacy between phacoemulsification and small incision non-phacoemulsification in the treatment of senile cataract[J].,2018,(11):1400-1402,1437.
点击复制

超声乳化术与小切口非超声乳化术治疗老年性白内障临床疗效对比研究
分享到:

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2018年11期
页码:
1400-1402,1437
栏目:
临床研究
出版日期:
2018-11-29

文章信息/Info

Title:
Comparison of clinical efficacy between phacoemulsification and small incision non-phacoemulsification in the treatment of senile cataract
文章编号:
0.3969/j.issn.1000-7377.2018.11.010
作者:
曾洪波宋春华彭璟李爽乐
四川省自贡市第一人民医院眼科(自贡643000)
Author(s):
Zeng HongboSong ChunhuaPeng Jinget al.
Department of Ophthalmology,First People’s Hospital of Zigong City in Sichuan Province(Zigong 643000)
关键词:
白内障超声乳化白内障吸除术疗效比较研究@小切口非超声乳化
Keywords:
Cataract PhacoemulsificationComparative effectiveness research@Small incision non-phacoemulsification
分类号:
R776.1
文献标志码:
A
摘要:
目的:探讨超声乳化术与小切口非超声乳化术治疗老年性白内障的临床疗效。方法:选择白内障老年患者105例,按照随机原则结合患者意愿将其分成对照组(51例)及观察组(54例),分别经小切口非超声乳化术与超声乳化术进行治疗,比较两组患者视力、角膜散光度、角膜中央厚度、并发症发生情况。结果:观察组与对照组术后1、7、30 d视力情况、角膜散光度比较差异无统计学意义(P>0.05);对照组并发症发生率高于观察组,但差异无统计学意义(P>0.05);两组术后1、7 d角膜中央厚度均显著高于术前(P<0.05),30 d角膜中央厚度均仅稍大于术前,组间比较差异均无统计学意义(P>0.05)。结论:小切口非超声乳化术在白内障的治疗中能够取得与超声乳化术相当效果,但适应范围更广,对提高经济不发达地区老年白内障诊治水平具有重要意义。
Abstract:
Objective:To analyze the clinical efficacy of phacoemulsification (Phaco) and small incision non-phacoemulsification (SICS) in the treatment of senile cataract.Methods:105 elderly patients with cataract were randomly divided into a control group (51 cases) and an observation group (54 cases) according to the wishes of the patients,were reated by small incision non-phacoemulsification and phacoemulsification, respectively,Visual acuity, corneal astigmatism, central corneal thickness, and complications were compared between the two groups.Results: There was no significant difference in visual acuity and corneal astigmatism between the observation group and the control group at 1,7,30d (P>0.05). The complications of the control group were higher than that of the observation group, but the difference was not statistically significant(P>0.05). The central corneal thickness at 1d and 7d after operation was significantly higher than that before operation(P<0.05). The central corneal thickness was only slightly larger than before operation(P>0.05); there was no significant difference between the two groups(P>0.05). Conclusion: The clinical curative effect of phacoemulsification and small incision non-phacoemulsification in the treatment of senile cataract is better. It is recommended to select the appropriate surgical plan in combination with the actual situation of the patient in order to obtain a better therapeutic effect.

参考文献/References:

[1]关大权,王丽娜.青光眼滤过术行白内障摘出联合人工晶状体植入后低视力原因分析[J].中国老年学杂志,2013,33(6):1422-1424.
[2]赵昌峰.老年性白内障摘除术后视力影响因素分析[J].陕西医学杂志,2014,43(4):456-458.
[3]任百超,冯朝晖,孙乃学,等.小切口非超声乳化白内障摘除术的临床应用[J].陕西医学杂志,2002,31(6):491-492.
[4]Menapace R,Sacu S,Georgopoulos M,et al.Efficacy and safety of capsular bending ring implantation to prevent posterior capsuleopacification:three-year results of a randomized clinical trial[J].J Cataract Refract Surg,2008,34(8):1318-1328.
[5]梁裕琴,向浩天.小切口白内障青光眼联合手术临床观察[J].重庆医学,2014,43(13):1576-1578.
[6]赵堪兴,杨培增.眼科学[M].7 版.北京:人民卫生出版社,2008:139
[7]何守志.晶状体病学[M].北京:人民卫生出版社,2004:703
[8]代山厚.小切口非超声乳化人工晶状体植入治疗老年性白内障40例临床观察[J].国际眼科杂志,2010,10(1):122-123.
[9]白慧然,张辉,李卉,等.小切口非超声乳化白内障摘除术联合巩膜咬切术的疗效[J].中国老年学杂志,2014,34(11):2990-2991.
[10]林震琳,胡艳红.白内障超声乳化术后视觉质量的影响因素[J].国际眼科杂志,2017,17(12):2252-2255.
[11]王玲,郑振优,邢建强.白内障摘出联合人工晶状体植入术治疗闭角型青光眼合并白内障临床疗效分析[J].眼科新进展,2012,32(9):870-873.
[12]董永孝,黄立,关小荣,等.超声乳化联合人工晶状体植入治疗老年白内障合并角膜散光[J].国际眼科杂志,2015,15(11):1923-1926.
[13]李爽,张满红,韩英军,等.小切口非超声乳化和超声乳化术治疗白内障青光眼的疗效比较[J].国际眼科杂志,2016,16(5):955-957.
[14]杨长建,曾伦桃,蒋苗.小切口非超声乳化术与超声乳化术治疗白内障疗效的Meta分析[J].国际眼科杂志,2013,13(8):1550-1554.
[15]李勇,岳章显,徐海龙,等.超声乳化术与小切口囊外摘除术对老年白内障疗效的比较[J].国际眼科杂志,2014,14(4):673-676.
[16]赵镇芳,段香星,宋亚玲,等.超声乳化白内障摘除术与小切口非超声乳化白内障摘除术的疗效观察[J].国际眼科杂志2011,11(8):1407-1408.

更新日期/Last Update: 2018-11-30