摘要
目的:探讨白内障非超乳小切口手术(以下简称"小切口术")与超声乳化术治疗白内障的临床疗效。方法:选取2018年5月-2020年8月于本院行白内障手术治疗的患者107例,以随机法分为A组54例,予以超声乳化术治疗;B组53例,予以小切口术治疗。对比两组患者的治疗总有效率、泪膜破裂时间、泪液分泌试验(Schirmer)结果及并发症发生率。结果:A组的治疗总有效率(98.15%)高于B组(84.91%),差异有统计学意义(χ^(2)=6.089,P=0.014)。A组泪液分泌量(6.37±0.38)mm/5 min,基础泪液量(4.82±0.54)ml与泪膜破裂时间(6.59±0.54)s,均高于B组,差异均有统计学意义(泪液分泌量:t=24.833,P=0.001;基础泪液量:t=19.377,P=0.001;泪膜破裂时间:t=11.106,P=0.001);A组的并发症率(3.70%)低于B组,差异有统计学意义(χ^(2)=5.112,P=0.024)。结论:白内障患者行超声乳化术治疗的效果优于小切口术,其有助于改善眼部功能,减少并发症,疗效确切。
Objective:To explore the clinical efficacy of non-phacoemulsification small incision surgery (hereinafter referred to as "small incision") and phacoemulsification in the treatment of cataract.Method:A total of 107 patients who underwent cataract surgery in our hospital from May 2018 to August 2020 were randomly divided into group A (54 cases) and treated with phacoemulsification,group B (53 cases) was treated with small incision.The total effective rate of treatment,tear film rupture time,tear secretion test (SchiemerⅠ) time and the incidence of complications were compared between the two groups.Result:The total effective rate of treatment in group A (98.15%) was higher than that in group B (84.91%),and the difference was statistically significant (χ^(2)=6.089,P=0.014).The tear flow (6.37±0.38) mm/5 min,basic tear volume (4.82±0.54) ml and tear film rupture time (6.59±0.54) s in group A were significantly higher than those in group B (tear flow:t=24.833,P=0.001;basic tear volume:t=19.377,P=0.001;tear film rupture time:t=11.106,P=0.001).The total complication rate (3.70%) in group A was lower than that in group B,and the difference was statistically significant (χ^(2)=5.112,P=0.024).Conclusion:The effect of phacoemulsification treatment for cataract patients is better than that of small incision surgery,which is helpful to improve ocular function and reduce complications.And the curative effect is definite.
作者
杨永辉
YANG Yonghui(The Central Hospital of Laiwu,Xinwen Mining Industry Group,Jinan 271103,China)
出处
《中外医学研究》
2021年第36期119-121,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
白内障非超乳小切口手术
超声乳化术
临床疗效
泪膜破裂时间
泪液分泌试验
并发症
Non-supermammary small incision for cataract
Phacoemulsification
Clinical efficacy
Tear film rupture time
Tear secretion test
Complications
