手法碎核小切口白内障摘除术与超声乳化白内障摘除术治疗硬核性白内障对比分析.docVIP

手法碎核小切口白内障摘除术与超声乳化白内障摘除术治疗硬核性白内障对比分析 　　[摘要] 目的 分析手法碎核小切口白内障摘除术与超声乳化白内障摘除术治疗硬核性白内障的应用价值。方法 随机将95例硬核性白内障患者进行分组，对照组予超声乳化白内障摘除术治疗，实验组予手法碎核小切口白内障摘除术治疗，观察两组手术效果和安全性。结果 实验组术后3个月矫正视力达到0.5～1.0患者（93.75%）明显高于对照组（81.01%）（P0.05）；实验组术后1 d、1周角膜散光情况高于对照组（P0.01）；实验组术中并发后囊膜破裂发生率、角膜水肿发生率分别低于对照组（P0.01）。 结论 手法碎核小切口白内障摘除术具有切口小、创伤少和并发症发生率低等优势，在治疗硬核性白内障方面优于超声乳化白内障摘除术。 　　[关键词] 手法碎核小切口白内障摘除术；超声乳化白内障摘除术；硬核性白内障 　　[中图分类号] R779.66 [文献标识码] B [文章编号] 1673-9701（2014）23-0129-03 　　[Abstract] Objective To analyze the value of applying manual small incision cataract surgery and phacoemulsification cataract surgery for treatment of hard nucleus cataract. Methods A total of 95 cases of hard nucleus cataract were randomly assigned to the control group given phacoemulsification cataract surgery and the experimental group given manual small incision cataract surgery. The surgical effect and safety were observed. Results At the end of the third month the surgery， 93.75% of the patients in the experimental group had corrected visual acuity of 0.5～1.0， significantly higher than 81.01% of the control group （P0.05）. At the end of first day and first week after surgery， the experimental group had greater corneal astigmatism than the control group （P0.01）. The experimental group had lower incidence rate of posterior capsular rupture and corneal edema during surgery than the control group （P0.01）. Conclusion With the advantage of smaller incision， less trauma and lower incidence of complications， manual small incision cataract surgery has better efficacy for treatment of hard nucleus cataract than phacoemulsification cataract surgery. 　　[Key words] Small incision cataract surgery； Phacoemulsification cataract surgery； Hard nucleus cataract 　　白内障是导致视力模糊、甚至失明的主要原因，其治疗以人工晶体植入术为主。超声乳化白内障摘除术能够有效改善术后视力，但超声能量对眼球内组织损伤较大、术后并发症报道较多[1]，而手法碎核小切口白内障摘除术采用小切口治疗能够降低对眼球组织的损伤。本研究主要分析手法碎核小切口白内障摘除术与超声乳化白内障摘除术治疗硬核性白内障的应用价值，现报道如下。 　　1资料与方法 　　1.1一般资料 　　选取我院眼科2010年10月～2013年10月期间95例硬核性白内障门诊治疗患者，根据晶状体混浊形态和视力检查确诊，符合赵家良[2]著《眼科诊疗常规》中关