小切口非超声乳化白内障摘除的疗效观察

Observation of the Effect of Small Incision Non Phacoemulsification Cataract Extraction

目的探讨小切口非超声乳化白内障摘除术的临床疗效。方法选取我科室2016年5月—2017年5月采用小切口非超声乳化白内障摘除术治疗的30例患者为观察组,选取同期采用超声乳化白内障吸除术治疗的30例患者为对照组。比较两组的手术疗效。结果观察组术后3 d的视力好于对照组,差异有统计学意义(P<0.05)。但两组术后1个月时的视力对比,差异无统计学意义(P>0.05)。观察组术后24 h的眼压高于对照组,术后的并发症差少于对照组,差异有统计学意义(P<0.05)。两组术后48 h的眼压、生活质量对比,差异无统计学意义(P>0.05)。结论小切口非超声乳化摘除术是治疗白内障的有效手术方式,适合基层医院开展。

Objective To investigate the clinical effect of small incision non phacoemulsification cataract extraction. Methods 30 patients treated with small incision non phacoemulsification cataract extraction from May 2016 to May 2017 in ophthalmology department were selected as the observation group. 30 patients treated with phacoemulsification at the same time were selected as the control group. The curative effect of the two groups was compared. Results After operation, the visual acuity of 3 d in the observation group was better than that in the control group, and the diference was statistically signifcant （P 〈 0.05）. However, there was no significant difference in visual acuity between the two groups at 1 month after operation （P 〉 0.05）. The intraocular pressure of 24 h in the observation group was higher than that of the control group. The postoperative complications were less than that of the control group, and the diference was statistically signifcant （P 〈 0.05）. After operation, there was no signifcant diference in intraocular pressure and quality of life of two groups （P 〉 0.05）. Conclusion The small incision non phacoemulsifcation is an efective method for the treatment of cataract, which is suitable for the primary hospital.