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1、爆破模式在硬核白内障超声乳化吸除术中的应用国际眼科杂志2006年6月第6卷第3期电话:029—82245172电子信箱:IJO.2000@163.com?论着?爆破模式在硬核白内障超声乳化吸除术中的应用陈耀琴,李卫红,关山越,李金奇,邓洁珊Applicationofburstmodeinphacoemul-sificationofhardnucleuscataractYao—QinChen,Wei-HongLi,Shan—YueGuan,Jin-QiLi,Jie-ShanDengDepartmentofOphthal
2、mology,theSecondPeople'sHospitalofZhao-qingCity,Zhaoqing526060,GuangdongProvince,China.Correspondenceto:Yao—QinChen.DepartmentofOphthalmology,theSecondPeople'sHospitalofZhaoqingCity,Zhaoqing526060,GuangdongProvince,China.hsdcyq@163.comReceived:2006—03—20Accepte
3、d:2006—05—16Abstract.AIM:Toobservetheeffectofburstmodeonphacoemulsi—ficationofhardnucleuscataract..METHODS:Fourhundredandeighteeneyes(40Ocases)wererandomlydMdedintotwogroups(pulsegroupandburstgroup).Actualphacopower
4、phacotimeFvisualacuit,/Fcornealendothelialcel
5、llossandothercomplicationswererecorded..RESUL1-S:Theactualphacopowerinthetwogroupswas22.42±5.65%and6.30±1.28%,respectively.Thephacotimeinthetwogroupswas(202~25)sand(45±6)S,respec—tively.Incomparisonofthepowerandtimebetweenthetwogroups,thedifierencewassignifican
6、t(P<0.001).Visualacuitywassignificantimprovedinbothofthetwogroupspostoper—aUvely.ThedifrerencebebNeenthetwogroupswasstatist卜callysignificant(P<O.oo5).Postoperativeendothelialcelllosswassignificantlowerinburstgroupthanthatinthepulsegroup(P<0.005).Seriou
7、scornealedemaoccurredmorefre—quentlyinthepulsegroupthanthatintheburstgroup..∞NCLUS10N:Duringphacoemulsification,burstphacomodereducedphacoUme,actualphacopower,lOSSofcornealendothelialcellandcornealedema.Itissafetouseburstphacoemulsificationinclinica1..KE^,ORDS:
8、phacoemulsification;hardnucleus;burstmodeChenYQ,LiWH,GuanSY,LiJQ,DengJS.Applicationofburstmodeinphacoemulsificationofhardnueleuscataract.如f.,Ophth~l-mol(GuojiYankeZazhi),2006;6(3):632-634作者单位:(526060)中国广东省肇庆市第二人民医院眼科作者简介:陈耀琴,女,毕业于河南省新乡医学院,主治医师,研究方向:青光眼及白内障的防治通讯
9、作者:陈耀琴.hsdcyq@163.eom收稿日期:2006—03—20修回日期:2006—05—166;32摘要目的:探讨爆破模式行硬核白内障超声乳化吸除术的效果.方法:将400例(418眼)硬核(IV~V级核)白内障患者随机分为脉冲组和爆破组行超声乳化吸除术.记录两组患者术中实际使用的超声能量和时问,视力及角膜内皮细胞密度,并观察手术并发症