用超声乳化手术与小切口非超声乳化手术治疗白内障的疗效及安全性对比

Comparison of effects and safety between phacoemulsification and small incision nonphacoemulsification for cataract

目的 :分析比较用超声乳化手术与小切口非超声乳化手术治疗白内障的临床疗效及安全性。方法 :将苍溪县人民医院在2016年1月至2017年5月期间收治的100例白内障患者(100眼)作为研究对象。采用随机双盲法将其分为研究组与对照组。为研究组50例患者采用超声乳化手术进行治疗,为对照组50例患者采用小切口非超声乳化手术进行治疗。然后比较两组患者术前、术后1天、术后7天、术后1个月、术后3个月的视力及角膜散光值、术后并发症(包括角膜水肿、前房虹膜反应、后囊破裂等)的发生情况。结果 :1)在术后,两组患者的视力均较术前明显提高(P<0.05)。在术前、术后1天、术后7天、术后1个月、术后3个月,两组患者的视力相比差异无统计学意义(P>0.05)。2)在术前、术后1天、术后7天、术后1个月、术后3个月,两组患者的角膜散光值相比差异无统计学意义(P>0.05)。3)研究组患者术后并发症的发生率为24.0%,对照组患者术后并发症的发生率为30.0%,组间差异无统计学意义(P>0.05)。结论 :用超声乳化手术与小切口非超声乳化手术治疗白内障均可取得良好的临床疗效,且安全性均较高。临床医生应根据患者的实际情况为其选用合适的手术方法。

objective： to compare the clinical efficacy and safety of phacoemulsification and small incision non-phacoemulsification in the treatment of cataract. Methods： 100 cataract patients（100 eyes） admitted to cangxi people＇s hospital from January 2016 to May 2017 were studied. The randomized double-blind method was used to divide it into the study group and the control group. To treat 50 patients in the group with phacoemulsification, a small incision non-phacoemulsification operation was performed for 50 patients in the control group. Then compared two groups of patients with preoperative and postoperative 1 day, 7 days after operation, postoperative 1 month, 3 months postoperative visual acuity and corneal astigmatism, postoperative complications（including corneal edema, iris anterior chamber reaction and posterior capsular rupture, etc.） what is happening. Results： 1） in both groups, vision was significantly improved after surgery（P〈0.05）. There was no statistically significant difference in vision between the two groups（P BBB 0 0.05） before, 1 day after surgery, 7 days after surgery, 1 month after surgery and 3 months after surgery. 2） there was no statistically significant difference in corneal astigmatism between the two groups（P BBB 0 0.05） before, 1 day after surgery, 7 days after surgery, 1 month after surgery and 3 months after surgery. 3） the incidence of postoperative complications in the study group was 24.0%, and the incidence of postoperative complications in the control group was 30.0%, and there was no statistically significant difference between the groups（P BBB 0 0.05）. Conclusion： phacoemulsification and small incision nonphacoemulsification can achieve good clinical efficacy and high safety. The clinician should choose the appropriate surgical method according to the patient＇s actual condition.