晶状体超声乳化术治疗糖尿病性白内障患者的疗效分析

Analysis of the Efficacy of Phacoemulsification in the Treatment of Diabetic Cataract

目的探析糖尿病性白内障(Diabetic Cataract,DC)患者采用晶状体超声乳化术治疗的疗效及价值。方法回顾性选取2022年1月-2023年12月江苏省淮安市洪泽区人民医院收治的98例DC患者的临床资料,按手术方式不同将患者分为两组,各49例。对照组接受摘除人工晶状体植入术,观察组接受晶状体超声乳化术,比较两组视力功能指标、黄斑中心凹视网膜厚度(Central Macular Thickness,CMT)水平、并发症发生率、临床疗效。结果治疗后,观察组非矫正、最佳矫正的近视力和远视力均更优于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组CMT水平低于对照组,差异有统计学意义(P<0.05)。观察组纤维素渗出、角膜水肿、房水混浊等并发症总发生率为4.08%,低于对照组的16.32%,差异有统计学意义(χ^(2)=4.009,P<0.05)。观察组临床总有效率为93.88%,高于对照组的79.59%,差异有统计学意义(χ^(2)=4.346,P<0.05)。结论晶状体超声乳化术治疗DC患者可取得理想效果,相较摘除人工晶状体植入术,术后患者视力功能、CMT水平改善均更好,且术后并发症发生率更低、临床总有效率更高。

Objective To explore the efficacy and value of phacoemulsification in the treatment of diabetic cataract(DC).Methods The clinical data of ninety-eight DC patients admitted to Hongze District People's Hospital of Huai'an City,Jiangsu Province from January 2022 to December 2023 were retrospectively selected,and the patients were divided into two groups according to different surgical methods,with forty-nine cases each.The control group un-derwent intraocular lens extraction and implantation,and the observation group underwent phacoemulsification.Visual acuity function index,central macular thickness(CMT)level,complication rate and clinical efficacy were compared between the two groups.Results After treatment,the uncorrected and best corrected near vision and far vision in the observation group were better than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the CMT level of observation group was lower than that of control group,and the difference was statistically significant(P<0.05).The total incidence of complications such as cellulose exudation,corneal edema and aqueous humor turbidity in the observation group was 4.08%,lower than that in the control group(16.32%),the differ-ence was statistically significant(χ^(2)=4.009,P<0.05).The total clinical effective rate of observation group was 93.88%,higher than that of control group(79.59%),and the difference was statistically significant(χ^(2)=4.346,P<0.05).Conclusion Phacoemulsification is an ideal treatment for DC patients.Compared with intraocular lens extrac-tion and implantation,the postoperative visual function and CMT level of patients are improved better,and the inci-dence of postoperative complications is lower and the total clinical effective rate is higher.