改良隧道切口非超声乳化白内障摘除联合折叠晶状体植入术临床应用观察.pdfVIP

改良隧道切口非超声乳化白内障摘除联合折叠晶状体 植入术临床应用观察 Clinical Application of Non--phacoemulsification Cataract Extraction with Foldable Intraocular Lens Implantation through a Modified Tunnel Incision 许钟毓 广东省揭阳市人民医院眼科，揭阳522000 Zhongyu Xu Department ofOphthalmology，Jieyang Pepole’s Hospital，Jieyang 522000，China 目的：观察改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术的临床效果和特 点。 方法：118例白内障患者的118只眼，随机分为2组：超声乳化白内障吸除联合折叠人工晶状体 植入术手术组58只眼与改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术组60 只眼。对比观察两种术式并发症及术后视力。 结果：改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术与超声乳化白内障吸除 术联合折叠人工晶状体植入术在白内障手术中的并发症、近远期术后视力比较，差异均无统计 学意义，而改良隧道切口非超声乳化白内障摘除术的手术成本低于超声乳化白内障吸除术，且 学习曲线短。 结论：改良隧道切口非超声乳化白内障摘除联合折叠人工晶状体植入术适合在基层医院的白内 障治疗中推广。聪 学报2007；23：247—251． 关键词：白内障；小切口非超声乳化白内障摘除术；超声乳化白内障吸除术；折叠人工晶状体 Purpose：To compare with phacoemulsification，to evaluate the clinical outcomes and advantages of modified tunnel incision non—phacoemulsification and foldable intraocular lens(IOL)implantation． Methods：One hundred and eighteen eyes of 1 1 8 cataract patients were randomly divid— ed into two groups：phac0emulsificati0n and foldable IOL implantation group(58 eyes) as well as modified tunnel incision non--phacoemulsification and foldable IOL implanta-- tion group(60 eyes)．Intraoperative complications and postoperative visual acuity were evaluated． Results：There was no significant difference in intraoperative complications and postop— erative visual acuity between two groups．The cost of non—phac0emulsificati0n was less than that of the phac0emulsmcait0n surgery．The Study curve is also short in non—phaco一 247 眼科学报 2007年第23卷第4期 Eye Science 2007；Vo1．23 No．4 emusification surgery．