2.2mm同轴微切口超声乳化与传统超声乳化白内障手术的对比评价

Comparative Evaluation on 2.2 mm Coaxial Micro-phacoemulsification and Traditional Phacoemulsification Cataract Surgery

目的评价2.2 mm同轴微切口超声乳化与传统超声乳化白内障手术的对比。方法方便选取该院68例白内障患者,收取时间在2017年1—5月,并将白内障患者随机分为两组,对照组(34例患者实施传统超声乳化白内障手术),观察组(34例患者实施2.2 mm同轴微切口超声乳化治疗),将两组治疗后的角膜散光、角膜内皮计数、视力值、有效率、角膜内皮细胞损伤发生率进行对比。结果观察组白内障患者治疗后的角膜散光(0.71±0.23)D、角膜内皮计数(2 599.01±552.17)个/mm2、视力值(0.58±0.21)优于对照组(P<0.05),观察组白内障患者中,显效患者有30例、有效患者有2例、无效患者有2例、有效率94.12%、角膜内皮细胞损伤发生率14.71%优于对照组(P<0.05)。结论将两组手术方式对白内障患者的治疗效果进行对比,2.2 mm同轴微切口超声乳化手术具有多种优势。

Objective To evaluate the comparison of 2.2 mm coaxial micro-phacoemulsification and traditional phacoemulsification cataract surgery.Methods 68 cases of cataract patients admitted and treated in our hospital from January to May 2017 were convenient selected and randomly divided into two groups with 34 cases in each,the control group adopted the traditional phacoemulsification cataract surgery,while the observation group adopted the 2.2 mm coaxial micro-phacoemulsification,after treatment,the corneal astigmatism,corneal endothelial cell counting,vision value,effective rate,and incidence rate of corneal astigmatism,corneal endothelial cell injury were compared between the two groups.Results The astigmatism keratotomy,corneal endothelial cell counting,vision value in the observation group were respectively(0.71±0.23)D,(2 599.01±552.17)/mm2 and(0.58±0.21),which were better than those in the control group(P<0.05),and in the observation group,30 cases were markedly effective,2 cases were effective,2 cases were ineffective and effective rate was 94.12%,and the incidence rate of corneal endothelial cell injury was 14.71%,which was better than that in the control group(P<0.05).Conclusion The comparison of effect of the two operation methods in treatment of cataract patients shows that the 2.2 mm coaxial micro-phacoemulsification has multiple advantages,which is worth clinical application.