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时间:2017-12-07
《超声乳化与小切口非超声乳化治疗白内障的疗效及安全性比较》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、中国现代医生2014年3月第52卷第7期·临床探讨·超声乳化与小切口非超声乳化治疗白内障的疗效及安全性比较翁春瑜洪彬1.浙江省龙游县人民医院眼科,浙江龙游324400;2.浙江省台州市恩泽医疗中心(集团)路桥医院眼科,浙江台州318050【摘要】目的比较分析超声乳化与小切口非超声乳化治疗白内障的疗效及安全性。方法选择90例(117眼)白内障患者,根据手术方式不同分为实验组与对照组,其中实验组采用超声乳化手术,对照组采用小切口非超声乳化手术。比较两组患者的手术治疗效果及术中、术后并发症情况。结果实验组术后1d、7d、1个月裸眼视力>
2、0.5患者明显多于对照组(x2_4.24、3.92、5.69,P<0.05)。两组患者术后7d角膜散光度均高于术前(尸<0.01)。实验组术中及术后并发症发生率少于对照组(x=4.89,P<0.05)。结论采用超声乳化治疗白内障能取得更好的疗效,患者术后视力恢复更佳,术中及术后并发症少,是一种安全有效的手术方式。[关键词】超声乳化;小切口非超声乳化;白内障;疗效;并发症【中图分类号】R776.1【文献标识码】Bf文章编号】1673—9701(2014)07—0143—03Curativeeffectandsecuritycompa
3、risonofultrasonicemulsificationandsmallincisionnon..phacoemulsificationinthreatmentofcataractWENGChunyuHONGBin。’1.DepartmentofOphthalmology,LongyouCountyPeople’SHospital,Longyou324400,China;2.DepartmentofOphthal-mology,LuqiaoHospitalofTaizhouEnzeMedicalCenter(Group),T
4、aizhou318050,China【Abstract]ObjectiveTodiscusscurativeeffectandsecuritycomparisonofultrasonicemulsificationandsmallincisionnon-phacoemulsificationtotreatcataract.Methods90cases(117eyes)ofpatientswithcataractweredividedintoex—perimentalgroupandcontrolgroupinaccordancew
5、ithdifferentoperationmethods.Thepatientsinexperimentalgroupweregivenultrasonicemulsificationoperation,whilethepatientsincontrolgroupweregivensmallincisionnon-pha—coemulsificationoperation.Operationalcurativeeffectandintraoperativeandpostoperativecomplicationofpatients
6、intwogroupswerecompared.ResultsThenumberofpatientsinexperimentalgroup,whosenakedvisionweremorethan0.5afteroneday,7daysandonemonthsupontheoperationwasmuchmorethanthatincontrolgroup(X2=4.24,3.92,5.69,P<0.05).Thecornealastigmatismofpatientsintwogroupsafter7days‘operation
7、washighterthanthatbeforetheoperation(P<0.05).Theintraoperativeandpostoperativecomplicationoccurrenceratesofpatientsinex-perimentalgroupweremuchlowerthanthoseincontrolgroup(X2=4.89,P<0.05).ConclusionUltrasonicemulsificationhasreliablecurativeeffectoncataract,whichcanma
8、kebettervisionrecoveryofpatientsaftertheoperation,withlit—tieintraoperativeandpostoperativecomplication,andisasafeandeffecti
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