超声乳化术治疗硬核白内障临床效果分析

Clinical Effect of Phacoemulsification in the Treatment for Hard Cataract

目的:探讨超声乳化术治疗硬核白内障的临床效果。方法:选择125例2017年1月-2018年12月在笔者所在医院接受治疗的硬核白内障患者,根据术式进行分组。小切口非超声乳化术组行小切口非超声乳化术治疗,超声乳化手术组行超声乳化术治疗。比较两组疗效,术后1 d、术后1个月、术后3个月的视力情况、手术相关并发症及角膜散光改变程度。结果:超声乳化手术组总有效率高于小切口非超声乳化术组(P<0.05);超声乳化手术组术后1 d、术后1个月、术后3个月的视力情况优于小切口非超声乳化术组(P<0.05)。超声乳化手术组手术相关并发症低于小切口非超声乳化术组(P<0.05)。超声乳化手术组术后1 d、术后1个月的角膜散光程度高于术前(P<0.05),术后3个月与术前比较差异无统计学意义(P>0.05)。小切口非超声乳化术组术后1 d、术后1个月、术后3个月的角膜散光程度均高于术前(P<0.05)。结论:硬核白内障患者行超声乳化术疗效较为理想,可有效减少并发症,改善视力。

Objective:To investigate the clinical effect of phacoemulsification in the treatment of hard cataract.Method:A total of 125 patients with hard cataract treated in our hospital from January 2017 to February 2018 were enrolled according to the surgical method.Small incision non-phacoemulsification group was treated with small incision non-phacoemulsification,and phacoemulsification group was treated with phacoemulsification.The clinical effect,visual acuity 1 day after surgery,1 and 3 months after surgery,surgical related complications,degree of corneal astigmatism were compared between the two groups.Result:The total effect rate in the phacoemulsification group was higher than that in the small incision non-phacoemulsification group(P<0.05).The visual acuity of the phacoemulsification group was better than at 1 day,1 month and 3 months after operation inn the small incision non-phacoemulsification group(P<0.05).The incidence of surgical complications of the phacoemulsification group was lower than that of the small incision non-phacoemulsification group(P<0.05).The degree of corneal astigmatism at 1 day,1 month after operation in the phacoemulsification group was higher than that before surgery(P<0.05).And there was no significant difference between the 3 months after operation and before the operation(P>0.05).The degrees of corneal astigmatism in the small incision non-phacoemulsification group at 1 day,1 month after operation and 3 months after operation were higher than that before operation(P<0.05).Conclusion:The effect of phacoemulsification in patients with hard cataract is ideal,which can effectively reduce complications and improve vision.