不同手术方式治疗白内障的疗效分析

岳晓丽; 代应辉; 赵思婕

doi:10.13898/j.cnki.issn.1000-2200.2017.07.005

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不同手术方式治疗白内障的疗效分析

岳晓丽 , 代应辉 , 赵思婕

文章导航 > 蚌埠医学院学报 > 2017, 42 > 7: (854-857)

引用本文:

Citation:

不同手术方式治疗白内障的疗效分析

蚌埠医学院第一附属医院眼科, 安徽蚌埠 233004

作者简介: 岳晓丽(1980-),女,硕士,主治医师.

中图分类号: R779.66

Analysis of clinical effect of different surgical methods in the treatment of cataract

Department of Ophthalmology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China
CLC number: R779.66

摘要: 目的：比较小切口非超声乳化摘除术及同轴微切口2.2 mm与2.8 mm切口白内障超声乳化手术的疗效。方法：选择白内障病人112例（112眼），随机分成小切口组（38例38眼）、2.2 mm组（37例37眼）和2.8 mm组（37例37眼）。比较术前、术后1周及术后1个月裸眼视力、最佳矫正视力、屈光状态、角膜内皮细胞计数及术后并发症发生情况。结果：3组病人术后裸眼及最佳矫正视力与术前相比均有明显提高（P<0.01）；术后1周、1个月，3组病人视力提高幅度为小切口组>2.2 mm组或>2.8 mm组（P<0.01）。3组病人术后角膜散光较术前明显降低（P<0.01），但术后1周、1个月时3组病人角膜散光度差异无统计学意义（P>0.05）。3组病人术后角膜内皮细胞计数均显著下降（P<0.01），但组间差异无统计学意义（P>0.05）。3组病人术后并发症发生率差异无统计学意义（P>0.05）。结论：小切口非超声乳化摘除术具有创伤小、恢复快、术后裸眼视力好、费用低、操作简便等优点，是一种值得推广的手术方式。
- 白内障 /
- 小切口 /
- 同轴 /
- 微切口
Abstract: Objective:To compare the efficacy between small incision non phacoemulsification,and coaxial micro incision 2.2 mm and 2.8 mm incision phacoemulsification.Methods:One hundred and twelve patients(112 eyes) with cataract were randomly divided into the small incision group(38 cases),2.2 mm group(37 cases) and 2.8 mm group(37 eyes).The uncorrected visual acuity,best corrected visual acuity,refractive status,corneal endothelial count and postoperative complications before operation,after 1 week and 1 month between three groups were compared.Results:Compared with before operation,the uncorrected visual acuity and best corrected in three groups were significantly improved after operation(P<0.05).The increasing degree of vision in small incision group,2.2 mm group and 2.8 mm group after 1 week and 1 month gradually decreased(P<0.01).Compared before operation,the corneal astigmatism in three groups significantly decreased after operation(P<0.01),and the differences of the corneal astigmatism after 1 week and 1 month of operation between three groups were statistically significant(P>0.05).The corneal endothelial cell counts in three groups significantly decreased after operation(P<0.01),the differences of which between three groups were not statistically different(P>0.05).There was no significant difference in the incidence rate of complications between the 3 groups after surgery(P>0.05).Conclusions:Small incision non phacoemulsification has the advantages of small trauma,quick recovery,good vision of naked eye,low cost and easy operation,which is worthy of promotion.
- cataract /
- small incision /
- coaxial /
- micro incision

[1]	秦梅,陶黎明,岳晓丽,等.先天性白内障摘出合并人工晶体植入术[J].安徽医科大学学报,2006,41(2):236.
[2]	KATZ MD,SUGAY SB,WALKER K,et al.Beyond hemostasis:spectrum of gynecologic and obstetric indications for transcatheter embolization[J].Radiographics,2012,32(6):1713.
[3]	王均清,杨侠,董晓光.白内障联合玻璃体切割术治疗高度近视并非白内障[J].国际眼科杂志,2012,12(8):1572.
[4]	CAN I,TAKMAZ T,YILDIZ Y,et al.Coaxial,microcoaxial,and biaxial microincision cataract surgery[J].J Cataract Refract Surg,2010,36(5):740.
[5]	曹燕,赵俊宏,梁厚成,等.超声乳化白内障吸除术和小切口非超声乳化囊外摘除术在高龄白内障患者中的疗效对比分析[J/CD].中国医学前沿杂志(电子版),2014,6(10):29.
[6]	刘斌.小切口非超声乳化摘除术对高龄白内障患者的疗效分析[J].中国医药指南,2016,14(23):94.
[7]	单武强,雷新平,唐艳,等.同轴2.2 mm与2.8 mm切口白内障超声乳化手术疗效评价[J].国际眼科杂志,2016,16(1):97.
[8]	周霞.2种小切口手术在高龄白内障患者中的应用效果比较[J].现代中西医结合杂志,2013,22(15):1654.

[1]	邹杰 . 小切口非超声乳化白内障囊外摘除术在大规模复明行动中应用体会. 蚌埠医学院学报, 2010, 35(3): 246-248.
[2]	代应辉 , 尚平 , 王剑锋 , 方丽 , 李宁 , 岳晓明 . 小切口白内障摘除治疗膨胀期白内障继发青光眼31例疗效观察. 蚌埠医学院学报, 2011, 36(1): 47-48.
[3]	孙文娟 , 李永蓉 . 颞上象限角膜缘遂道微切口超声乳化联合人工晶状体植入术治疗青光眼小梁切除术后白内障病人的短期随访研究. 蚌埠医学院学报, 2020, 45(4): 478-481. doi: 10.13898/j.cnki.issn.1000-2200.2020.04.015
[4]	王剑锋 , 郁佳 , 王爱莲 , 岳晓丽 , 杨洪霞 , 田静 . 半囊袋内手法碎核在小切口白内障摘除术中的应用效果观察. 蚌埠医学院学报, 2010, 35(10): 1000-1001.
[5]	武红军 , 郭永妹 , 张坤 . 外侧小切口空心螺钉治疗跟骨骨折25例分析. 蚌埠医学院学报, 2010, 35(6): 587-588.
[6]	孙祥雷 , 黄峻松 , 龚兵 , 黄奕江 . 经腹入路小切口治疗小儿斜疝71例体会. 蚌埠医学院学报, 2009, 34(11): 1004-1005.
[7]	阮传江 , 周平辉 . 小切口复位治疗小儿肱骨髁上骨折30例. 蚌埠医学院学报, 2011, 36(5): 488-489.
[8]	李忠望 . 胸腔镜辅助小切口在胸部外伤中的应用探讨. 蚌埠医学院学报, 2006, 31(3): 273-274.
[9]	孙凯 , 沈治祥 , 张学春 , 卞万一 . 小切口配合封闭负压吸引治疗乳腺脓肿22例. 蚌埠医学院学报, 2014, 39(9): 1246-1247.
[10]	王福军 . 小切口人工股骨头置换治疗老年股骨颈骨折18例. 蚌埠医学院学报, 2011, 36(9): 991-992.
[11]	赵刚 . 小切口手术治疗腰椎间盘突出25例疗效观察. 蚌埠医学院学报, 2012, 36(7): 838-839.
[12]	王东涛 , 王远恩 , 蒋鹏 , 凌久德 . 颧骨复合体骨折经面部小切口入路手术的评价. 蚌埠医学院学报, 2012, 36(12): 1484-1485.
[13]	伍铜锤 , 尹小强 , 杨武林 , 郭兵 . 腋下多点皮瓣固定及胸壁小切口减张改善乳腺癌改良根治术后皮下积液的有效性及安全性研究. 蚌埠医学院学报, 2020, 45(8): 993-996. doi: 10.13898/j.cnki.issn.1000-2200.2020.08.001
[14]	于香玲 , 王剑锋 . 屈光性白内障手术研究进展. 蚌埠医学院学报, 2016, 41(5): 698-700. doi: 10.13898/j.cnki.issn.1000-2200.2016.05.049
[15]	江立 , 沈建国 . 超声乳化白内障吸除术治疗超高度轴性近视白内障76例分析. 蚌埠医学院学报, 2010, 35(4): 400-402.
[16]	黄晓峰 . 超声乳化白内障吸除联合房角分离术治疗原发性闭角型青光眼合并白内障的疗效观察. 蚌埠医学院学报, 2017, 42(3): 352-354. doi: 10.13898/j.cnki.issn.1000-2200.2017.03.021
[17]	袁安 , 杨静 , 马惠杰 , 贾蒙岚 . 白内障超声乳化联合人工晶状体植入术治疗闭角型青光眼合并白内障的疗效观察. 蚌埠医学院学报, 2017, 42(6): 747-749. doi: 10.13898/j.cnki.issn.1000-2200.2017.06.015
[18]	王剑锋 , 朱美玲 . 婴幼儿先天性白内障超声吸除术. 蚌埠医学院学报, 2005, 30(2): 135-137.
[19]	李忠民 , 张健 , 吴峰 , 朱俊卿 . 轴性高度近视合并白内障超声乳化术22例临床观察. 蚌埠医学院学报, 2013, 37(7): 856-858.
[20]	邵玲 , 席淑新 . 表面麻醉下白内障超声乳化手术中的心理护理. 蚌埠医学院学报, 2013, 37(10): 1360-1361,1364.

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不同手术方式治疗白内障的疗效分析

作者简介: 岳晓丽(1980-),女,硕士,主治医师.

蚌埠医学院第一附属医院眼科, 安徽蚌埠 233004

收稿日期: 2016-12-28

关键词:

白内障 /
小切口 /
同轴 /
微切口

摘要: 目的：比较小切口非超声乳化摘除术及同轴微切口2.2 mm与2.8 mm切口白内障超声乳化手术的疗效。方法：选择白内障病人112例（112眼），随机分成小切口组（38例38眼）、2.2 mm组（37例37眼）和2.8 mm组（37例37眼）。比较术前、术后1周及术后1个月裸眼视力、最佳矫正视力、屈光状态、角膜内皮细胞计数及术后并发症发生情况。结果：3组病人术后裸眼及最佳矫正视力与术前相比均有明显提高（P<0.01）；术后1周、1个月，3组病人视力提高幅度为小切口组>2.2 mm组或>2.8 mm组（P<0.01）。3组病人术后角膜散光较术前明显降低（P<0.01），但术后1周、1个月时3组病人角膜散光度差异无统计学意义（P>0.05）。3组病人术后角膜内皮细胞计数均显著下降（P<0.01），但组间差异无统计学意义（P>0.05）。3组病人术后并发症发生率差异无统计学意义（P>0.05）。结论：小切口非超声乳化摘除术具有创伤小、恢复快、术后裸眼视力好、费用低、操作简便等优点，是一种值得推广的手术方式。

English Abstract

Analysis of clinical effect of different surgical methods in the treatment of cataract

Department of Ophthalmology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China

Received Date: 2016-12-28

Abstract: Objective:To compare the efficacy between small incision non phacoemulsification,and coaxial micro incision 2.2 mm and 2.8 mm incision phacoemulsification.Methods:One hundred and twelve patients(112 eyes) with cataract were randomly divided into the small incision group(38 cases),2.2 mm group(37 cases) and 2.8 mm group(37 eyes).The uncorrected visual acuity,best corrected visual acuity,refractive status,corneal endothelial count and postoperative complications before operation,after 1 week and 1 month between three groups were compared.Results:Compared with before operation,the uncorrected visual acuity and best corrected in three groups were significantly improved after operation(P<0.05).The increasing degree of vision in small incision group,2.2 mm group and 2.8 mm group after 1 week and 1 month gradually decreased(P<0.01).Compared before operation,the corneal astigmatism in three groups significantly decreased after operation(P<0.01),and the differences of the corneal astigmatism after 1 week and 1 month of operation between three groups were statistically significant(P>0.05).The corneal endothelial cell counts in three groups significantly decreased after operation(P<0.01),the differences of which between three groups were not statistically different(P>0.05).There was no significant difference in the incidence rate of complications between the 3 groups after surgery(P>0.05).Conclusions:Small incision non phacoemulsification has the advantages of small trauma,quick recovery,good vision of naked eye,low cost and easy operation,which is worthy of promotion.