小切口超声乳化与小切口非超声乳化、手法娩核治疗白内障的疗效分析(附72例报告)

The effect analysis of small incision phacoemulsification and manual nucleus division for treating cataract

目的 对小切口超声乳化与小切口手法娩核治疗白内障疗效，术后并发症进行对比分析。方法 随机选用小切口超声乳化病例３６ 例，及小切口手法娩核病例３６ 例进行统计分析。结果 手术１ 周视力以≥０ ．５ 的病例数进行比较，手法娩核组占７７ ．８ ％ ，有显著差异（ Ｐ ＜ ０ ．０５） ，术后６ 个月两组间差异无显著性（ Ｐ＞ ０ ．０５） ；术后对二级、三级角膜混浊两组比较，以超声乳化组为明显，有显著性差异（ Ｐ ＜ ０ ．０１） ；术后１ 周与术后６ 个月散光两组比较，无差异性（ Ｐ ＞ ０ ．０５） 。结论 对超声乳化技术的开展要严格掌握适应症，以患者的视力恢复为宗旨，而不应追求时尚。

Objectives This article analysed the effect and complication of treating cataract in phacoemulsification and manual nucleus division of small incision.Methods 36 cases of phacoemulsification and 36 cases of manual nucleus division of small incision were analysed.Results The vision of one week after operation that according to case number (≥0.5) to compare,the case number was 77.8% in group of manual nucleus division that the value was statistically significant,(P<0.05),but two groups have not distinguish difference(P>0.05) in six months after operation;The value was significantly higher in group of phacoemulsification than in group of manual nuclers division (P<0.01) in two and three degree of cornea opacity after opertion;The astigmatism of two groups have not statistically significant (P>0.05) in one week and six months after operation.Conclusion The development of phacoemulsification operation must grasp strictly indication.