小切口囊外白内障摘除术的临床研究

Clinical research of small incision extracapsular cataract extraction

目的 探讨小切口囊外白内障摘除术联合人工晶状体植入术和超声乳化白内障吸除术联合人工晶状体植入术对白内障患者的疗效.方法 选择接受治疗的白内障患者110例（142眼）,其中55例69眼采取小切口囊外白内障摘除术联合人工晶状体植入术（观察组）,55例73眼采取超声乳化白内障吸除术联合人工晶状体植入术（对照组）.治疗结束后,对患者观察3个月,比较两组患者术后1周、1个月和3个月的视力和生存质量,并统计两组患者并发症.结果 观察组术后1周、1个月和3个月视力0.6～ 1.0分别为34眼（49.3％,34/69）、61眼（88.4％,61/69）和63眼（91.3％,63/69）,对照组分别为37眼（50.7％,37/73）、64眼（87.7％,64/73）和65眼（89.0％,65/73）,两组比较差异无统计学意义（P＞0.05）;观察组术后1周、1个月和3个月生存质量评分分别为（87.5±10.7）、（91.2±5.3）、（94.3±5.8）分,对照组分别为（85.9±11.5）、（90.6±6.7）、（94.5±6.0）分,两组比较差异无统计学意义（P＞0.05）;观察组并发症发生率为23.2％（16/69）,对照组并发症发生率为37.0％（27/73）,两组比较差异有统计学意义（P＜0.05）.结论 小切口囊外白内障摘除术联合人工晶状体植入术治疗白内障,患者视力恢复以及生存质量均与超声乳化白内障吸除术联合人工晶状体植入术相近,但并发症更少,是一种更为安全可靠的治疗选择.

Objective To explore the clinical effect of small incision extracapsular cataract extraction combined with implantation of artificial lens and phacoemulsification combined with implantation of artificial lens for patients with cataract.Methods One hundred and ten patients （142 eyes） with cataract were selected,55 patients （69 eyes） were treated with small incision extracapsular cataract extraction combined with implantation of artificial lens （observation group）,and 55 patients （73 eyes） were treated with phacoemulsification combined with implantation of artificial lens （control group）.After treatment,the corrected vision and quality of life were observed 1-week,1-and 3-month after operation,and the complications were recorded.Results The vision 0.6-1.0 of 1-week,1-and 3-month in observation group were 34 eyes （49.3%,34/69）,61 eyes （88.4%,61/69） and 63 eyes （91.3%,63/69） respectively,in control group were 37 eyes （50.7%,37/73）,64 eyes （87.7%,64/73） and 65 eyes （89.0%,65/73） respectively,there were no statistical differences （P 〉0.05）.The quality of life score 1-week,1-and 3-month in observation group were （87.5 ± 10.7）,（91.2 ± 5.3）,（94.3 ± 5.8） scores respectively,in control group were （85.9 ± 11.5）,（90.6 ± 6.7）,（94.5 ± 6.0） scores respectively,there were nostatistical differences （P 〉 0.05）.The rate of complications in observation group was 23.2% （16/69）,in control group was 37.0% （27/73）,there was statistical difference （P 〈 0.05）.Conclusions The vision recovery and quality of life in cataract patients treated with small incision extracapsular cataract extraction combined with implantation of artificial lens are similar to treated with phacoemulsification combined with implantation of artificial lens.However,with fewer complications,small incision extracapsular cataract extraction combined with implantation of artificial lens is a more safe and reliable treatment method.