摘要
目的探讨超声乳化白内障吸出术联合硬性人工晶状体植入术和小切口白内障囊外摘除术联合硬性人工晶状体植入术治疗老年性白内障的疗效。方法回顾分析2009年5月～2011年12月,513例老年性白内障手术的临床资料,其中超声乳化白内障吸出术联合硬性人工晶状体植入术261例(PI组),小切口白内障囊外摘除术联合硬性人工晶状体植入术252例(EI组),比较两组手术效果。结果两组患者手术均成功,术后并发症差异无统计学意义(P>0.05);术后3个月矫正视力差异无统计学意义(P>0.05);EI组治疗费用低于PI组(P<0.01)。结论超声乳化白内障吸出术联合硬性人工晶状体植入术和小切口白内障囊外摘除术联合硬性人工晶状体植入术均是治疗老年性白内障的有效方法,但后者更经济,临床应用应根据患者病情、医院设备和医师手术经验选用。
Objective To investigate the surgical efficacy of phacoemulsiilcation plus intraocular lens implantation （PI group） and extracapsular cataract extraction plus intraocular lens implantation （ El group） for senile cataract. Methods The clini- cal data of 513 patients of senile cataract undergoing surgery between May 2009 and Dec 2011 were analyzed. Among them, 261 cases treated by PI, and 252 eases treated by EI. Surgical effect between groups were compared. Results The surgery of two groups were success. No significant difference was observed in post-operative complication between two groups （P 〉 0. 05）. And there was no statistical siginificant in the corrective visual acuity between two groups after 3 month（ P 〉 0. 05 ）. The cost of EI group was lower than that in PI group（P 〈0. 01 ）. Conclusion There are almost same surgical efficacy in using PI and EI for senile cataract. But the cost of EI is cheaper than PI. The application should according to the condition of patient and hospital, the experience of surgeon.
出处
《四川医学》
CAS
2012年第8期1444-1445,共2页
Sichuan Medical Journal
