小切口囊外摘除术与超声乳化吸除术治疗老年白内障的疗效

目的:比较小切口囊外摘除术与超声乳化吸除术治疗老年白内障的临床疗效。方法:选择2014年3月-2015年3月在我院接受治疗的老年白内障患者100例,根据手术方式不同分为两组,每组50例。观察组采用小切口非超声乳化囊外摘除术,对照组采用超声乳化白内障吸除术。观察并比较两组患者围手术期眼压变化、视力恢复情况以及并发症的发生情况。结果:观察组术后2 h、6 h、12 h及24 h眼压均低于对照组,差异有统计学意义(P0.05);术后48 h两组眼压比较,差异无统计学意义(P0.05)。观察组术后1周视力高于对照组,差异有统计学意义(P0.05);术后1个月、3个月两组视力比较,差异无统计学意义(P0.05)。观察组术后并发症的发生率低于对照组,差异具有统计学意义(P0.05)。结论:小切口囊外摘除术治疗老年白内障具有围术期眼压升高慢、术后视力恢复快、并发症少等特点,值得临床推广应用。

Efficacy of Small Incision Extracapsular Cataract Extraction and Phacoemulsification for Elderly Patients

Objective:To compare the clinical effects of small incision non-phacoemulsification emulsion with ultrasonic emulsification cataract extracapsular extraction gettering treatment for the elderly patients.Methods:100 patients with senile cataract who were treated in our hospital from March 2014 to March 2015 were selected and according to different surgical methods, the patients were divided into two groups with 50 patients in each group. The patients in the observation group were treated with the small incision phacoemulsification extracapsular cataract extraction, while the patients in the control group were treated with the ultrasound phacoemulsification. Then the intraocular pressure, visual acuity and complications in the two groups were observed and compared.Results:The IOP of 2 h, 6 h and 12 h after the treatment in the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05). There was no statistically significant difference about the IOP in the two groups after the treatment for 48 h (P>0.05). The visual acuity of the observation group after the treatment for 1 week was better than that of the control group, and the difference was statistically significant (P<0.05). There was no statistically significant difference about the visual acuity in the two groups after the treatment for 1 month and 3 months, (P>0.05). The incidence of complications in the observation group was lower than that of the control group, and the difference was statistically significant (P<0.05).Conclusion:It is worthy of clinical application that the small incision extracapsular extraction has better effects for patients with cataract, which has the advantages of reducing iop, improving the visual acuity and decreasing the postoperative complications.