两种白内障摘除联合人工晶状体植入术效果比较

Effective comparison between phacoemulsification and ECCE

目的探讨复明工程中两种不同白内障手术方式的效果。方法对461例(485眼)年龄相关性白内障患者施行白内障复明手术,比较两种术式的术后1d及2个月最佳矫正视力、术后1d角膜水肿及前房反应情况、以及术后并发症的发生。结果 Phaco组(超声乳化白内障吸出术)和ECCE组(白内障囊外摘除术)术后最佳矫正视力术后1d时两组之间差异有统计学意义(χ2=195.616,P=0.000),但术后2个月时两组比较差异无统计学意义(χ2=10.075,P=0.018)。结论在批量白内障复明手术中应根据患者晶状体核硬度、经济情况选择手术方式,以确保每一例复明手术安全有效的完成。

Objective To study the efficacy of two different kinds of cataract surgeries in sight rehabilitating project. Methods A total of 461 age-related cataract patients （ 485 eyes） were divided into two groups, the postoperative best corrected visual acuity（BCVA）, corneal edema, complications were compared. Results There was not statistically significant between two groups on the BCVA of post operation 1 day（X2= 195. 616 ,P=0. 000）. But there was statistically significant between two groups on the BCVA of post operation 2 month（X2= 10. 075, P=0. 018）. Conelusion In the bulk sight rehabilitating surgeries, the methods of operation should be chosen by the nuclear hardness of lens and the economy of patients. It is the only way to ensure every ease of sight rehabilitating safe and effective completion.